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General NPI Number Information
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NPI Number | 1811505720
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Entity Type | Individual
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Provider Name | KARLA LOUELLE TIMBOL CASINO PT
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Gender | Female
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Dates
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Enumeration Date | 07/16/2020
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Last Update Date | 07/16/2020
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Provider Practice Location Address
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Address Line | SYNERGY HEALTH MEDICAL SOLUTIONS PC 95 CLINTON ST
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City | HEMPSTEAD
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State | NY
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Zip | 11550
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Country | US
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Telephone | 516-280-2022
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Fax | 516-538-8988
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Provider Business Mailing Address
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Address Line | 8601 AVA PLACE APT 2
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City | JAMAICA
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State | NY
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Zip | 11432
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Country | US
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Telephone | 917-634-1208
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 045635-01
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License Number State | NY
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