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General NPI Number Information
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NPI Number | 1518638014
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Entity Type | Individual
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Provider Name | ANDREW JONATHAN GELBER PTA
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Gender | Male
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 123 WEST 18TH STREET CELLAR
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City | NEW YORK
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State | NY
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Zip | 10011
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Country | US
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Telephone | 646-678-5980
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Fax |
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Provider Business Mailing Address
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Address Line | 854 W 181ST ST APT 1H
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City | NEW YORK
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State | NY
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Zip | 10033-4401
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Country | US
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Telephone | 646-240-1259
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 010652-1
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License Number State | NY
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