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General NPI Number Information
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NPI Number | 1891564704
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Entity Type | Organization
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Legal Business Name | SPIRITO GATHMAN PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 12/20/2023
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 17 TECHNOLOGY DR
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City | EAST SETAUKET
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State | NY
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Zip | 11733-4000
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Country | US
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Telephone | 631-606-6075
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Fax |
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Provider Business Mailing Address
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Address Line | 81 FORT SALONGA RD STE C
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City | NORTHPORT
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State | NY
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Zip | 11768-2889
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | JOHN SPIRITO
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Credential | DPT
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Telephone | 631-740-0014
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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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