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General NPI Number Information
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NPI Number | 1548896699
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Entity Type | Organization
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Legal Business Name | KINDNESS UNLIMITED PHYSICAL OCCUPATIONAL &SPEECH THERAPY SERVICES PLLC
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Dates
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Enumeration Date | 03/20/2020
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Last Update Date | 07/31/2020
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Provider Practice Location Address
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Address Line | 1761 ROUTE 112
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City | MEDFORD
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State | NY
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Zip | 11763-3661
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Country | US
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Telephone | 631-355-6425
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Fax |
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Provider Business Mailing Address
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Address Line | 59 38TH ST
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City | ISLIP
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State | NY
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Zip | 11751-1101
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RALUCHUKWU ONUBOGU
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Credential |
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Telephone | 631-355-6425
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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 |
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License Number State |
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