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General NPI Number Information
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NPI Number | 1649420183
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Entity Type | Individual
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Provider Name | SCOTT JOSEPH ADLER DPT
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Gender | Male
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Dates
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Enumeration Date | 09/21/2008
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Last Update Date | 02/09/2012
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Provider Practice Location Address
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Address Line | 584 BROADWAY SUITE 710
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City | NEW YORK
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State | NY
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Zip | 10012-3229
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Country | US
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Telephone | 212-941-0503
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Fax | 212-941-6195
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Provider Business Mailing Address
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Address Line | 201 W 77TH ST #9C
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City | NEW YORK
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State | NY
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Zip | 10024-6606
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Country | US
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Telephone | 212-333-7780
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 030626-1
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License Number State | NY
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