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General NPI Number Information
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NPI Number | 1992254585
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Entity Type | Organization
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Legal Business Name | MAURIZIO A LLIN PT PC
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Dates
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Enumeration Date | 09/24/2016
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Last Update Date | 09/24/2016
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Provider Practice Location Address
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Address Line | 4029 168TH ST
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City | FLUSHING
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State | NY
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Zip | 11358-2630
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Country | US
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Telephone | 917-710-1413
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Fax |
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Provider Business Mailing Address
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Address Line | 4029 168TH ST
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City | FLUSHING
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State | NY
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Zip | 11358-2630
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Country | US
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Telephone | 917-710-1413
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MAURIZIO A LLIN
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Credential | P.T.
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Telephone | 917-710-1413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 037886
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 037886
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License Number State | NY
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