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General NPI Number Information
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NPI Number | 1528204484
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Entity Type | Individual
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Provider Name | MICHAL NOAM M.A., P.T.
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Gender | Female
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Dates
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Enumeration Date | 12/24/2008
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Last Update Date | 12/24/2008
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Provider Practice Location Address
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Address Line | 6 SHAAR HAGUY ST
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City | RAMAT GAN
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State | RAMAT GAN
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Zip | 52313
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Country | IL
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Telephone | 972528303232
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Fax |
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Provider Business Mailing Address
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Address Line | 6 SHAAR HAGUY ST
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City | RAMAT GAN
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State | RAMAT GAN
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Zip | 52313
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Country | IL
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Telephone | 972528303232
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 015054-1
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License Number State | NY
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