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General NPI Number Information
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NPI Number | 1740456268
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Entity Type | Organization
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Legal Business Name | 7TH AVENUE PHYSICAL MEDICINE & REHABILITATION
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Dates
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Enumeration Date | 05/05/2008
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Last Update Date | 05/05/2008
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Provider Practice Location Address
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Address Line | 512 7TH AVE FL 14
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City | NEW YORK
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State | NY
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Zip | 10018-4603
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Country | US
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Telephone | 212-768-7979
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Fax | 212-768-1223
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Provider Business Mailing Address
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Address Line | 512 7TH AVE FL 14
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City | NEW YORK
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State | NY
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Zip | 10018-4603
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Country | US
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Telephone | 212-768-7979
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Fax | 212-768-1223
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SCOTT REALE
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Credential |
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Telephone | 212-768-7979
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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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