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General NPI Number Information
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NPI Number | 1538328018
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Entity Type | Organization
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Legal Business Name | THE GRACE REHABILITATION AND PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 09/08/2009
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Provider Practice Location Address
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Address Line | 1538 ROUTE 52
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City | FISHKILL
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State | NY
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Zip | 12524-1621
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Country | US
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Telephone | 845-765-1037
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Fax | 845-765-1038
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Provider Business Mailing Address
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Address Line | 1538 ROUTE 52
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City | FISHKILL
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State | NY
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Zip | 12524-1621
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Country | US
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Telephone | 845-765-1037
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Fax | 845-765-1038
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Authorized Official
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Title or Position | DPT
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Name | DR. JAMES B AKINWUNMI
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Credential |
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Telephone | 845-765-1037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 014823-1
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License Number State | NY
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