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General NPI Number Information
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NPI Number | 1548255789
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Entity Type | Individual
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Provider Name | DAVID PAUL NUPP PT
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Gender | Male
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 03/17/2008
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Provider Practice Location Address
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Address Line | 4562 BELL BLVD
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City | BAYSIDE
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State | NY
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Zip | 11361-3355
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Country | US
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Telephone | 718-281-2861
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Fax | 718-281-0173
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Provider Business Mailing Address
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Address Line | 14 APPLETREE LN
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City | LEVITTOWN
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State | NY
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Zip | 11756-2206
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Country | US
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Telephone | 516-579-9844
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 00362B-1
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License Number State | NY
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