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General NPI Number Information
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NPI Number | 1518108471
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Entity Type | Individual
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Provider Name | ELISA CABRAL PT
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Gender | Female
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Dates
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Enumeration Date | 03/23/2009
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Last Update Date | 03/23/2009
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Provider Practice Location Address
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Address Line | 506 LENOX AVE MLK BLDG. ROOM 3137
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City | NEW YORK
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State | NY
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Zip | 10037-1802
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Country | US
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Telephone | 212-939-4442
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Fax | 212-939-4446
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Provider Business Mailing Address
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Address Line | 15 JACOBUS PL APT. 3H
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City | BRONX
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State | NY
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Zip | 10463-6821
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Country | US
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Telephone | 646-548-7869
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Fax |
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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 | P68802
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License Number State | NY
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