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General NPI Number Information
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NPI Number | 1710227665
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Entity Type | Organization
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Legal Business Name | PROGRESS IN MOTION PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 02/28/2013
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Last Update Date | 08/13/2015
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Provider Practice Location Address
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Address Line | 1200 W BROADWAY SUITE 2
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City | HEWLETT
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State | NY
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Zip | 11557-1913
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Country | US
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Telephone | 347-746-7812
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Fax |
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Provider Business Mailing Address
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Address Line | 1 RIVER PL 2715
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City | NEW YORK
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State | NY
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Zip | 10036-4343
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Country | US
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Telephone | 347-746-7812
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. MARY SAMONTE
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Credential | PT, DPT
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Telephone | 347-746-7812
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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 | NY
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