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NPI 1982858387

NPI 1982858387 : LINDA CIMINO-RICHARDSON PT : HICKSVILLE, NY

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General NPI Number Information
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    NPI Number           |    1982858387
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    Entity Type          |    Individual 
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    Provider Name        |    LINDA CIMINO-RICHARDSON PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/12/2008
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    Last Update Date     |    11/12/2008
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Provider Practice Location Address
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    Address Line         |    8 BRIGHTON PL 
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    City                 |    HICKSVILLE
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    State                |    NY
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    Zip                  |    11801-1119
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    Country              |    US
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    Telephone            |    516-658-2463
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    Fax                  |    516-932-7720
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Provider Business Mailing Address
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    Address Line         |    8 BRIGHTON PL 
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    City                 |    HICKSVILLE
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    State                |    NY
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    Zip                  |    11801-1119
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    Country              |    US
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    Telephone            |    516-658-2463
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    Fax                  |    516-932-7720
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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       |    008017-1
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    License Number State |    NY
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