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General NPI Number Information
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NPI Number | 1629768643
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Entity Type | Organization
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Legal Business Name | MARVIN CATIBOG P.T.,P.C.
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Dates
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Enumeration Date | 05/11/2023
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 363 7TH AVE FL 18
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City | NEW YORK
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State | NY
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Zip | 10001-3904
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Country | US
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Telephone | 848-391-4379
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Fax |
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Provider Business Mailing Address
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Address Line | 363 7TH AVE FL 18
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City | NEW YORK
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State | NY
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Zip | 10001-3904
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Country | US
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Telephone | 848-391-4379
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MARVIN CATIBOG
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Credential | D.P.T.
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Telephone | 848-391-4379
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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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