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General NPI Number Information
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NPI Number | 1679769780
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Entity Type | Organization
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Legal Business Name | DANIEL OEST PT PC
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 17 W JOHN ST
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City | HICKSVILLE
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State | NY
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Zip | 11801-1001
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Country | US
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Telephone | 516-935-2067
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Fax | 516-935-2017
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Provider Business Mailing Address
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Address Line | 3487 WOODWARD AVE
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City | WANTAGH
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State | NY
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Zip | 11793-4031
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Country | US
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Telephone | 516-935-2067
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Fax | 516-935-2017
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Authorized Official
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Title or Position | PT
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Name | DANIEL OEST
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Credential |
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Telephone | 516-935-2067
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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 | 0253281
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License Number State | NY
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