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General NPI Number Information
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NPI Number | 1649853201
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Entity Type | Individual
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Provider Name | MS. RITU SANJAYKUMAR VYAS
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Gender | Female
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Dates
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Enumeration Date | 05/03/2021
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | GB PHYSICAL THERAPY PC 900 B EAST TREMONT AVENUE
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City | BRONX,NYC
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State | NY
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Zip | 10460
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Country | US
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Telephone | 917-514-5152
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Fax |
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Provider Business Mailing Address
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Address Line | 20 STAGG ST APT 2
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City | JERSEY CITY
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State | NJ
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Zip | 07306-3490
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Country | US
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Telephone | 346-907-2515
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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 | 047027
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License Number State | NY
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