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General NPI Number Information
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NPI Number | 1548414089
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Entity Type | Organization
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Legal Business Name | BODY POWER PHYSICAL THERAPY,P.C.
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Dates
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Enumeration Date | 11/11/2008
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Last Update Date | 11/11/2008
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Provider Practice Location Address
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Address Line | 49 CHURCH ST
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City | FREEPORT
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State | NY
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Zip | 11520-3837
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Country | US
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Telephone | 516-623-6253
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Fax | 516-623-8450
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Provider Business Mailing Address
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Address Line | 49 CHURCH ST
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City | FREEPORT
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State | NY
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Zip | 11520-3837
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Country | US
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Telephone | 516-623-6253
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Fax | 516-623-8450
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Authorized Official
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Title or Position | OWENER
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Name | MR. BABU S. MOSES
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Credential | PT,DSC,ECS,MTC
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Telephone | 516-623-6253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0097051
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License Number State | NY
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