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General NPI Number Information
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NPI Number | 1831624279
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Entity Type | Individual
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Provider Name | VINOD KAPUR DPT
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Gender | Male
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 11915 ROCKAWAY BEACH BLVD
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City | ROCKAWAY PARK
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State | NY
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Zip | 11694-1970
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Country | US
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Telephone | 718-634-3211
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Fax | 718-634-0926
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Provider Business Mailing Address
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Address Line | 24 SADDLE ROCK RD
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City | VALLEY STREAM
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State | NY
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Zip | 11581-2518
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Country | US
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Telephone | 516-790-0114
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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 | 041340
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License Number State | NY
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