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General NPI Number Information
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NPI Number | 1760718001
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Entity Type | Organization
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Legal Business Name | FLEXITOUCH PT, INC.
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Dates
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Enumeration Date | 10/21/2009
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Last Update Date | 10/21/2009
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Provider Practice Location Address
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Address Line | 308 NEPTUNE AVE
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City | BROOKLYN
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State | NY
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Zip | 11235-6845
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Country | US
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Telephone | 718-615-0800
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Fax | 718-934-4474
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Provider Business Mailing Address
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Address Line | 308 NEPTUNE AVE
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City | BROOKLYN
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State | NY
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Zip | 11235-6845
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Country | US
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Telephone | 718-615-0800
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Fax | 718-934-4474
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Authorized Official
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Title or Position | OWNER
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Name | DR. IRENE MARIANO
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Credential | PT
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Telephone | 718-615-0800
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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 | 024082-1
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License Number State | NY
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