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General NPI Number Information
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NPI Number | 1740603497
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Entity Type | Individual
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Provider Name | RICHARD SZABO P.T.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2014
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Last Update Date | 01/31/2014
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Provider Practice Location Address
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Address Line | 180 W END AVE APT 1M
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City | NEW YORK
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State | NY
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Zip | 10023-4917
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Country | US
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Telephone | 212-600-4781
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Fax |
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Provider Business Mailing Address
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Address Line | 332 E 9TH ST APT 4
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City | NEW YORK
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State | NY
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Zip | 10003-7966
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Country | US
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Telephone | 917-244-1996
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 023841-1
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License Number State | NY
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