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General NPI Number Information
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NPI Number | 1851958201
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Entity Type | Organization
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Legal Business Name | TONIC PHYSICAL THERAPY , PLLC
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Dates
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Enumeration Date | 05/21/2019
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Last Update Date | 05/21/2019
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Provider Practice Location Address
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Address Line | 229 E 85TH ST UNIT G
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City | NEW YORK
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State | NY
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Zip | 10028-9609
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Country | US
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Telephone | 917-929-9485
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Fax | 917-591-1029
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Provider Business Mailing Address
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Address Line | 229 E 85TH ST UNIT G
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City | NEW YORK
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State | NY
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Zip | 10028-9609
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Country | US
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Telephone | 917-929-9485
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Fax | 917-591-1029
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Authorized Official
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Title or Position | FOUNDER
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Name | TONYA JUGE
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Credential | PT, MSPT, CFMT
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Telephone | 917-929-9485
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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 |
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License Number State |
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