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General NPI Number Information
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NPI Number | 1790964740
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Entity Type | Organization
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Legal Business Name | PRECISION PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 140 EILEEN WAY SUITE 700
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City | SYOSSET
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State | NY
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Zip | 11791
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Country | US
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Telephone | 516-682-8560
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Fax | 516-682-8562
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Provider Business Mailing Address
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Address Line | 140 EILEEN WAY SUITE 700
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City | SYOSSET
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State | NY
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Zip | 11791
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Country | US
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Telephone | 516-682-8560
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Fax | 516-682-8562
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Authorized Official
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Title or Position | OWNER
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Name | HUSSAIN ALSULLAMI
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Credential | MSPT
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Telephone | 516-682-8560
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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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