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General NPI Number Information
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NPI Number | 1548829351
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Entity Type | Individual
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Provider Name | ALEXANDRA MUNOZ
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Gender | Female
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Dates
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Enumeration Date | 06/06/2019
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Last Update Date | 06/06/2019
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Provider Practice Location Address
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Address Line | 3256 41ST ST APT 1E
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City | ASTORIA
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State | NY
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Zip | 11103-3556
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Country | US
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Telephone | 646-708-0082
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Fax |
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Provider Business Mailing Address
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Address Line | 3256 41ST ST APT 1E
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City | ASTORIA
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State | NY
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Zip | 11103-3556
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Country | US
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Telephone | 646-708-0082
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2145344
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 010390
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License Number State | NY
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