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General NPI Number Information
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NPI Number | 1750525598
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Entity Type | Organization
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Legal Business Name | DYNAMIC SOLUTIONS PEDIATRIC PHYSICAL & OCCUPATIONAL THERAPY
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 04/23/2009
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Provider Practice Location Address
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Address Line | 532 COURT ST
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City | BROOKLYN
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State | NY
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Zip | 11231-3986
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Country | US
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Telephone | 718-254-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 532 COURT ST
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City | BROOKLYN
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State | NY
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Zip | 11231-3986
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Country | US
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Telephone | 718-254-0800
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MIRAV MIRIAM NEWMAN
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Credential | P.T.
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Telephone | 718-254-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 006091
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 016157-1
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License Number State | NY
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