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General NPI Number Information
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NPI Number | 1841417714
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Entity Type | Organization
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Legal Business Name | ANGELIC PHYSICAL THERAPY P.C.
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 09/29/2009
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Provider Practice Location Address
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Address Line | 175 REMSEN ST SUITE 1103
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City | BROOKLYN
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State | NY
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Zip | 11201-4300
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Country | US
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Telephone | 718-237-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 175 REMSEN ST SUITE 1103
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City | BROOKLYN
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State | NY
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Zip | 11201-4300
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Country | US
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Telephone | 718-237-4400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANGELICA SARENAS
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Credential |
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Telephone | 718-237-4400
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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 | 024997
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License Number State | NY
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