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General NPI Number Information
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NPI Number | 1790927184
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Entity Type | Organization
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Legal Business Name | LIFELINE PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 03/31/2009
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 3060 OCEAN AVE
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City | BROOKLYN
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State | NY
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Zip | 11235
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Country | US
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Telephone | 347-816-7557
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 BRIGHTON BEACH AVE. #32
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City | BROOKLYN
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State | NY
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Zip | 11235
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Country | US
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Telephone | 347-816-7557
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NATALEE KAN
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Credential | DPT
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Telephone | 347-816-7557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 019879-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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