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General NPI Number Information
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NPI Number | 1952843062
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Entity Type | Organization
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Legal Business Name | ROCK PHYSICAL THERAPY AND ACUPUNCTURE, PLLC
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Dates
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Enumeration Date | 11/07/2016
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Last Update Date | 11/07/2016
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Provider Practice Location Address
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Address Line | 155 E 3RD ST
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City | NEW YORK
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State | NY
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Zip | 10009-7424
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Country | US
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Telephone | 646-267-7285
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Fax |
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Provider Business Mailing Address
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Address Line | 149 E 23RD ST # 2022
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City | NEW YORK
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State | NY
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Zip | 10010-3765
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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 | OWNER
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Name | MR. PAUL LEE
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Credential | PT, L.AC
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Telephone | 646-267-7285
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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 | 62023662
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License Number State | NY
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