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General NPI Number Information
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NPI Number | 1710521588
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Entity Type | Organization
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Legal Business Name | SHAWN MONAHAN PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 11/04/2019
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Last Update Date | 05/30/2021
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Provider Practice Location Address
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Address Line | 256 WEST ST
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City | NEW YORK
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State | NY
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Zip | 10013-2014
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Country | US
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Telephone | 646-363-6640
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Fax |
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Provider Business Mailing Address
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Address Line | 256 WEST ST
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City | NEW YORK
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State | NY
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Zip | 10013-2014
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Country | US
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Telephone | 845-769-4030
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Fax | 845-769-4046
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. SHAWN W MONAHAN
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Credential | PT, DPT
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Telephone | 646-363-6640
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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 |
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