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General NPI Number Information
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NPI Number | 1922431816
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Entity Type | Individual
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Provider Name | JENNIFER LYNNE STERNECKER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/14/2013
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Last Update Date | 08/14/2013
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Provider Practice Location Address
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Address Line | 675 3RD AVE 5TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10017-5704
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Country | US
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Telephone | 212-810-4286
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Fax | 646-763-8425
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Provider Business Mailing Address
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Address Line | 501 1/2 E 83RD ST APT 2E
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City | NEW YORK
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State | NY
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Zip | 10028-7205
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Country | US
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Telephone | 816-805-1877
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 036290
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License Number State | NY
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