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General NPI Number Information
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NPI Number | 1821474263
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Entity Type | Organization
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Legal Business Name | M.E.P.T. PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 08/07/2015
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Last Update Date | 08/07/2015
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Provider Practice Location Address
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Address Line | 322 LATHROP AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10302-2532
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Country | US
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Telephone | 718-448-6154
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20831
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City | STATEN ISLAND
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State | NY
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Zip | 10302-0831
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DR. OF PHYSICAL THERAPY/PRESIDENT
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Name | DR. MARIA FRANCAVILLA
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Credential | P.T., D.P.T.
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Telephone | 718-448-6154
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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 | 009357-1
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License Number State | NY
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