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General NPI Number Information
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NPI Number | 1962366260
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Entity Type | Individual
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Provider Name | VIRAL BHANSALI
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Gender | Male
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 752 SAINT NICHOLAS AVE
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City | NEW YORK
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State | NY
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Zip | 10031-4002
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Country | US
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Telephone | 718-648-0888
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Fax | 855-955-3899
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Provider Business Mailing Address
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Address Line | 64 BEACH ST
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City | JERSEY CITY
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State | NJ
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Zip | 07307-3801
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Country | US
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Telephone | 551-755-1209
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 055316
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License Number State | NY
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