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General NPI Number Information
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NPI Number | 1639558026
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Entity Type | Organization
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Legal Business Name | DANIEL DAVIDS PHYSICAL THERAPY
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Dates
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Enumeration Date | 05/19/2015
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Last Update Date | 05/19/2015
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Provider Practice Location Address
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Address Line | 5756 LITTLE NECK PKWY
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City | LITTLE NECK
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State | NY
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Zip | 11362-2240
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Country | US
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Telephone | 917-207-3541
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Fax |
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Provider Business Mailing Address
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Address Line | 5756 LITTLE NECK PKWY
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City | LITTLE NECK
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State | NY
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Zip | 11362-2240
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Country | US
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Telephone | 917-207-3541
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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 | DR. DANIEL DAVIDS
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Credential | DPT CSCS
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Telephone | 917-207-3541
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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 | 036847-1
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License Number State | NY
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