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General NPI Number Information
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NPI Number | 1942295407
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Entity Type | Individual
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Provider Name | JEFFREY DRUKIN PT
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Gender | Male
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 12/12/2018
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Provider Practice Location Address
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Address Line | 1281 E MAIN ST
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City | STAMFORD
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State | CT
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Zip | 06902-3544
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Country | US
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Telephone | 203-210-2840
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Fax | 203-210-2841
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Provider Business Mailing Address
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Address Line | 2700 WESTCHESTER AVE
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City | PURCHASE
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State | NY
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Zip | 10577-2547
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Country | US
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Telephone | 914-607-5730
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Fax | 914-457-1195
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 12021
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 022084
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License Number State | NY
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