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General NPI Number Information
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NPI Number | 1730213984
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Entity Type | Organization
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Legal Business Name | CORE CARE PHYSICAL THERAPY AND ACUPUNCTURE,PLLC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 09/20/2016
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Provider Practice Location Address
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Address Line | 1 PERLMAN DR SUITE #101
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City | SPRING VALLEY
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State | NY
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Zip | 10977-5281
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Country | US
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Telephone | 845-517-3330
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Fax | 845-517-3331
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Provider Business Mailing Address
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Address Line | 1 PERLMAN DR SUITE #101
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City | SPRING VALLEY
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State | NY
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Zip | 10977-5281
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Country | US
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Telephone | 845-517-3330
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Fax | 845-517-3331
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Authorized Official
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Title or Position | MANAGER
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Name | MS. JIWON PARK
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Credential | PHYSICAL THERAPIST
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Telephone | 201-673-4154
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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 |
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License Number State |
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