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General NPI Number Information
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NPI Number | 1700890092
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Entity Type | Individual
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Provider Name | VIRGINIA ANDREA MAIORINO PT
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Gender | Female
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 250 W 57TH ST SUITE 829
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City | NEW YORK
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State | NY
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Zip | 10107-0001
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Country | US
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Telephone | 845-688-2888
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Fax |
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Provider Business Mailing Address
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Address Line | 5800 ARLINGTON AVE APT 1X
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City | BRONX
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State | NY
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Zip | 10471-1402
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Country | US
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Telephone | 917-797-0957
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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 | 010819
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License Number State | NY
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