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General NPI Number Information
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NPI Number | 1992028245
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Entity Type | Organization
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Legal Business Name | HUMANQUEST PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 03/01/2010
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Last Update Date | 03/01/2010
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Provider Practice Location Address
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Address Line | 657 YONKERS AVE
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City | YONKERS
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State | NY
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Zip | 10704-2668
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Country | US
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Telephone | 914-376-3947
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Fax | 914-376-9822
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Provider Business Mailing Address
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Address Line | 657 YONKERS AVE
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City | YONKERS
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State | NY
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Zip | 10704-2668
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Country | US
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Telephone | 914-376-3947
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Fax | 914-376-9822
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. TOM DAROY BENOLERAO
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Credential | PT
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Telephone | 914-376-3947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 014875-1
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License Number State | NY
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