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General NPI Number Information
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NPI Number | 1609125475
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Entity Type | Organization
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Legal Business Name | YS PHYSICAL THERAPY / BEST PAIN CLINIC
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Dates
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Enumeration Date | 09/07/2012
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Last Update Date | 09/07/2012
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Provider Practice Location Address
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Address Line | 140 SYLVAN AVENUE, SUITE 107
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632
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Country | US
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Telephone | 201-944-0985
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Fax | 201-944-0912
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Provider Business Mailing Address
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Address Line | 140 SYLVAN AVENUE, SUITE 107
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632
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Country | US
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Telephone | 201-944-0985
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Fax | 201-944-0912
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Authorized Official
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Title or Position | RPT
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Name | SEUNGYOUL YI
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Credential |
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Telephone | 201-944-0985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 40QA01145000
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License Number State | NJ
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