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General NPI Number Information
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NPI Number | 1538142229
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Entity Type | Organization
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Legal Business Name | BTPT INC
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1303 BELL BLVD
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City | BAYSIDE
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State | NY
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Zip | 11360
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Country | US
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Telephone | 718-747-2019
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Fax | 718-767-6944
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Provider Business Mailing Address
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Address Line | 1303 BELL BLVD
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City | BAYSIDE
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State | NY
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Zip | 11360
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Country | US
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Telephone | 718-747-2019
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Fax | 718-767-6944
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Authorized Official
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Title or Position | PHYSICAL THERAPIST DIRECTOR
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Name | DR. ROBERT ANDREW MOREA
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Credential | DPT
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Telephone | 718-747-2019
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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 | 018012
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License Number State | NY
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