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General NPI Number Information
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NPI Number | 1043814536
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Entity Type | Individual
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Provider Name | DR. ANTHONY CELENZA
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Gender | Male
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Dates
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Enumeration Date | 11/24/2020
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 8950 DR MARTIN LUTHER KING JR ST N STE 101
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City | ST PETERSBURG
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State | FL
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Zip | 33702-3001
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Country | US
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Telephone | 727-520-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 39 GRANT AVE
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City | MOUNT EPHRAIM
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State | NJ
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Zip | 08059-1523
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Country | US
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Telephone |
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 40QA01979600
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License Number State | NJ
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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 | PT36890
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License Number State | FL
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