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General NPI Number Information
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NPI Number | 1578720645
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Entity Type | Organization
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Legal Business Name | MAXIMUM MOTION PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 565 ALBANY AVE PHYSICAL THERAPY SUITE
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City | AMITYVILLE
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State | NY
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Zip | 11701-1115
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Country | US
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Telephone | 516-557-6466
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Fax |
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Provider Business Mailing Address
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Address Line | 565 ALBANY AVE PHYSICAL THERAPY SUITE
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City | AMITYVILLE
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State | NY
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Zip | 11701-1115
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Country | US
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Telephone | 516-557-6466
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. TODD HOFFMAN
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Credential | MSPT
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Telephone | 516-557-6466
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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 | 024808
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License Number State | NY
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