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General NPI Number Information
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NPI Number | 1992945950
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Entity Type | Organization
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Legal Business Name | CENTER FOR PHYSICAL MEDICINE&REHABILITATION
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Dates
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Enumeration Date | 03/03/2009
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Last Update Date | 03/03/2009
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Provider Practice Location Address
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Address Line | 42 RYKOWSKI LN SUITE1
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City | MIDDLETOWN
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State | NY
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Zip | 10941-4018
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Country | US
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Telephone | 845-695-2131
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Fax | 845-695-2135
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Provider Business Mailing Address
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Address Line | 42 RYKOWSKI LN SUITE 1
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City | MIDDLETOWN
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State | NY
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Zip | 10941-4018
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Country | US
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Telephone | 845-695-2131
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Fax | 845-695-2135
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Authorized Official
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Title or Position | OWNER
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Name | DR. NEAL R DUNKELMAN
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Credential | MD
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Telephone | 845-695-2131
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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 | 0230141
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 022623
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 181211
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License Number State | NY
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