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General NPI Number Information
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NPI Number | 1598096992
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Entity Type | Organization
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Legal Business Name | JOSEPH MOSKOWITZ PT LLC
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Dates
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Enumeration Date | 01/25/2010
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Last Update Date | 04/14/2011
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Provider Practice Location Address
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Address Line | 3803 SEVERN RD
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City | CLEVELAND HTS
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State | OH
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Zip | 44118-1910
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Country | US
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Telephone | 216-577-1933
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Fax | 216-342-1141
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Provider Business Mailing Address
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Address Line | 3803 SEVERN RD
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City | CLEVELAND HTS
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State | OH
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Zip | 44118-1910
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Country | US
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Telephone | 216-577-1933
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Fax | 216-342-1141
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH MOSKOWITZ
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Credential | PT
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Telephone | 216-577-1933
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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 | 011493
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License Number State | OH
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