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General NPI Number Information
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NPI Number | 1659611283
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Entity Type | Organization
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Legal Business Name | MAESTRO PHYSICAL THERAPY AND REHABILITATION, P.C.
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Dates
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Enumeration Date | 02/19/2013
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Last Update Date | 02/19/2013
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Provider Practice Location Address
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Address Line | 424 W 110TH ST SUITE 15A
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City | NEW YORK
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State | NY
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Zip | 10025-2408
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Country | US
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Telephone | 347-676-1371
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Fax |
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Provider Business Mailing Address
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Address Line | 424 W 110TH ST SUITE 15A
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City | NEW YORK
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State | NY
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Zip | 10025-2408
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Country | US
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Telephone | 347-676-1371
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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 | MR. JAMES MICHAEL CAMPO
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Credential | MPT
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Telephone | 917-696-2079
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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 |
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License Number State |
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