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General NPI Number Information
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NPI Number | 1750035523
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Entity Type | Individual
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Provider Name | IRIS CLAIRE PEPITO UMBAY PT
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Gender | Female
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Dates
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Enumeration Date | 02/09/2022
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 13104 LIBERTY AVE
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-3124
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Country | US
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Telephone | 718-322-2269
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Fax | 718-322-4697
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Provider Business Mailing Address
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Address Line | 16336 88TH ST
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City | HOWARD BEACH
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State | NY
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Zip | 11414-3344
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Country | US
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Telephone | 510-518-8616
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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 | 045570
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License Number State | NY
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