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General NPI Number Information
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NPI Number | 1982015046
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Entity Type | Organization
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Legal Business Name | WAY2HEALTH PHYSICAL THERAPY
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Dates
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Enumeration Date | 05/12/2014
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | 4115 75TH ST SUITE 2
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City | ELMHURST
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State | NY
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Zip | 11373-1811
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Country | US
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Telephone | 718-803-3883
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Fax | 718-803-3884
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Provider Business Mailing Address
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Address Line | 4115 75TH ST SUITE 2
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City | ELMHURST
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State | NY
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Zip | 11373-1811
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Country | US
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Telephone | 718-803-3883
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Fax | 718-803-3884
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Authorized Official
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Title or Position | OWNER
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Name | MS. YI LILY ZHANG
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Credential |
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Telephone | 718-803-3883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 002081-1
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License Number State | NY
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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 | 015633-1
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License Number State | NY
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