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General NPI Number Information
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NPI Number | 1518046309
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Entity Type | Individual
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Provider Name | SUSAN LOBERFELD PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3801 N 40TH AVE
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City | HOLLYWOOD
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State | FL
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Zip | 33021-1860
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Country | US
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Telephone | 347-347-3132
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Fax | 347-438-2942
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Provider Business Mailing Address
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Address Line | 3755 HENRY HUDSON PKWY APT 8C
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City | BRONX
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State | NY
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Zip | 10463-1538
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Country | US
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Telephone | 347-347-3132
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Fax | 347-438-2942
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 026737
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License Number State | NY
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