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General NPI Number Information
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NPI Number | 1851756902
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Entity Type | Organization
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Legal Business Name | MICHELLE MUSETTI PT PC
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Dates
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Enumeration Date | 12/16/2015
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Last Update Date | 12/16/2015
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Provider Practice Location Address
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Address Line | 225 MONTAUK HWY SUITE 109
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City | MORICHES
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State | NY
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Zip | 11955-1425
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Country | US
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Telephone | 631-878-7012
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Fax | 631-878-7015
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Provider Business Mailing Address
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Address Line | 225 MONTAUK HWY SUITE 109
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City | MORICHES
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State | NY
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Zip | 11955-1425
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Country | US
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Telephone | 631-878-7012
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Fax | 631-878-7015
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MICHELLE SATUR
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Credential |
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Telephone | 631-878-7012
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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 | 020627-1
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License Number State | NY
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