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General NPI Number Information
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NPI Number | 1003061961
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Entity Type | Individual
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Provider Name | JOHN QUINN TREMEL PT
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Gender | Male
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Dates
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Enumeration Date | 11/19/2008
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Last Update Date | 11/19/2008
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Provider Practice Location Address
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Address Line | 787 GOUCHER ST
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City | JOHNSTOWN
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State | PA
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Zip | 15905-3028
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Country | US
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Telephone | 814-255-2588
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Fax | 514-255-2588
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Provider Business Mailing Address
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Address Line | 145 MOUNTAIN ESTATES RD
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City | EBENSBURG
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State | PA
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Zip | 15931-5720
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Country | US
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Telephone | 814-244-8800
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PT016941
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License Number State | PA
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