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General NPI Number Information
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NPI Number | 1720877392
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Entity Type | Organization
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Legal Business Name | SEVA PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 52 E 11TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-6001
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Country | US
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Telephone | 732-986-6576
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Fax |
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Provider Business Mailing Address
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Address Line | 201 MARIN BLVD APT 1519
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City | JERSEY CITY
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State | NJ
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Zip | 07302-6702
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF PHYSICAL THERAPIST
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Name | DIPTI SHAH
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Credential | PT
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Telephone | 732-986-6576
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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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