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General NPI Number Information
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NPI Number | 1982904801
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Entity Type | Organization
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Legal Business Name | REYES PHYSICAL THERAPY SERVICES, P.C.
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Dates
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Enumeration Date | 10/26/2010
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Last Update Date | 10/26/2010
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Provider Practice Location Address
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Address Line | 30 PINETREE LN
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City | LEVITTOWN
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State | NY
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Zip | 11756-1523
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Country | US
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Telephone | 516-605-0422
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Fax |
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Provider Business Mailing Address
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Address Line | 30 PINETREE LN
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City | LEVITTOWN
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State | NY
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Zip | 11756-1523
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Country | US
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Telephone | 516-605-0422
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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 | JANE ROCHELLE REYES
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Credential |
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Telephone | 516-605-0422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 024005
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License Number State | NY
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