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General NPI Number Information
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NPI Number | 1861780298
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Entity Type | Organization
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Legal Business Name | YS PHYSICAL THERAPY P.C.
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Dates
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Enumeration Date | 07/19/2011
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Last Update Date | 06/24/2013
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Provider Practice Location Address
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Address Line | 140 SYLVAN AVE SUITE 107
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-2514
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Country | US
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Telephone | 201-944-0985
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Fax | 201-944-0912
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Provider Business Mailing Address
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Address Line | 140 SYLVAN AVE SUITE 107
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-2514
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Country | US
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Telephone | 201-944-0985
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Fax | 201-944-0912
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SEUNGYOUL YI
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Credential | BS
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Telephone | 347-644-8210
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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 | 40QA01145000
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License Number State | NJ
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