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General NPI Number Information
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NPI Number | 1669837183
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Entity Type | Organization
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Legal Business Name | HIGH PERFORMANCE PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 12/29/2015
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Last Update Date | 03/17/2022
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Provider Practice Location Address
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Address Line | 138 5TH AVE FL 2
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City | NEW YORK
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State | NY
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Zip | 10011-4367
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Country | US
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Telephone | 212-206-6400
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Fax | 917-591-3493
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Provider Business Mailing Address
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Address Line | 138 5TH AVE FL 2
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City | NEW YORK
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State | NY
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Zip | 10011-4367
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Country | US
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Telephone | 646-490-4002
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Fax | 917-591-3493
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DANIEL A FLECK
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Credential |
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Telephone | 646-490-4002
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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 | 035928
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License Number State | NY
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