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Beyond Basics Physical Therapy, LLC 110 East 42nd Street Suite 1504 NY, NY 10017 Phone (212× 3542622 Fax (212× 3542752 Registration Form PAYMENT INFORMATION MasterCard Visa American Express Discover
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It is a form used for registering certain types of entities with a specific identification number.
Entities that meet the criteria outlined by the regulatory body.
The form can be filled out electronically or by hand, following the instructions provided by the regulatory body.
The purpose is to collect necessary information about the entity for regulatory compliance and identification purposes.
Basic identifying information about the entity, ownership details, and any other required information specified in the form.
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