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General NPI Number Information
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NPI Number | 1982147914
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Entity Type | Organization
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Legal Business Name | SET IN MOTION PHYSICAL THERAPY,P.T.,P.T.A.,P.L.L.C.
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Dates
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Enumeration Date | 11/22/2016
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Last Update Date | 11/22/2016
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Provider Practice Location Address
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Address Line | 6903 WOODSIDE AVE
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City | WOODSIDE
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State | NY
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Zip | 11377-3935
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Country | US
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Telephone | 347-331-1051
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Fax |
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Provider Business Mailing Address
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Address Line | 3925 61ST ST P.O BOX 770834
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City | WOODSIDE
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State | NY
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Zip | 11377-8767
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Country | US
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Telephone | 347-331-1051
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MARK CELESTIE CAGATA
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Credential | PT
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Telephone | 347-331-1051
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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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