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General NPI Number Information
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NPI Number | 1710404850
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY UNLIMITED
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Dates
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Enumeration Date | 08/29/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 684 OCEAN TERRACE
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City | STATEN ISLAND
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State | NY
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Zip | 10301
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Country | US
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Telephone | 646-302-4406
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Fax | 800-722-4260
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Provider Business Mailing Address
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Address Line | 684 OCEAN TER
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City | STATEN ISLAND
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State | NY
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Zip | 10301-4538
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Country | US
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Telephone | 646-302-4406
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Fax | 800-722-4260
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | HODA AREF
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Credential | PT,MHS
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Telephone | 646-302-4406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 017097-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 017097-1
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License Number State |
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