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General NPI Number Information
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NPI Number | 1780070128
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Entity Type | Organization
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Legal Business Name | STRIVE PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 04/13/2015
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Last Update Date | 04/13/2015
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Provider Practice Location Address
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Address Line | 7716 164TH ST
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City | FRESH MEADOWS
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State | NY
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Zip | 11366-1227
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Country | US
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Telephone | 718-504-6323
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Fax | 718-380-0627
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Provider Business Mailing Address
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Address Line | 7716 164TH ST
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City | FRESH MEADOWS
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State | NY
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Zip | 11366-1227
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Country | US
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Telephone | 917-868-1546
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Fax | 718-380-0627
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Authorized Official
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Title or Position | DIRECTOR
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Name | COLEEN BARBASA ALUNAN
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Credential | P.T.
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Telephone | 917-868-1546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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