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General NPI Number Information
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NPI Number | 1538744610
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Entity Type | Organization
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Legal Business Name | NARDA NARVAEZ
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Dates
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Enumeration Date | 03/10/2021
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Last Update Date | 03/10/2021
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Provider Practice Location Address
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Address Line | 1663 E 17TH ST
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City | BROOKLYN
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State | NY
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Zip | 11229-1259
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Country | US
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Telephone | 718-338-3838
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Fax | 718-339-4172
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Provider Business Mailing Address
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Address Line | 100 CROCUS LN
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City | MILFORD
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State | PA
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Zip | 18337-7118
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Country | US
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Telephone | 917-907-1717
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NARDA NARVAEZ
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Credential | PT
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Telephone | 917-907-1717
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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 |
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License Number State |
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