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General NPI Number Information
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NPI Number | 1942430145
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Entity Type | Organization
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Legal Business Name | ADVANTAGE PT HEALTH CONSULTING PC
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Dates
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Enumeration Date | 07/22/2009
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 945 BROADWAY
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City | WOODMERE
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State | NY
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Zip | 11598-1733
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Country | US
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Telephone | 516-374-5310
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Fax | 516-374-4450
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Provider Business Mailing Address
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Address Line | 960 RAILROAD AVE
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City | WOODMERE
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State | NY
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Zip | 11598-1644
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Country | US
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Telephone | 516-374-5310
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Fax | 516-374-4450
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA PRAWER
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Credential | DPT
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Telephone | 516-374-5310
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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 |
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License Number State |
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