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General NPI Number Information
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NPI Number | 1053746701
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Entity Type | Individual
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Provider Name | ROMMEL LIM MILLIAM RPT
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Gender | Male
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Dates
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Enumeration Date | 09/12/2013
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Last Update Date | 05/03/2018
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Provider Practice Location Address
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Address Line | 42 RYKOWSKI LN
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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 | 845-673-5554
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Fax | 845-673-5760
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Provider Business Mailing Address
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Address Line | 11 MILO DR
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City | MIDDLETOWN
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State | NY
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Zip | 10941-2037
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Country | US
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Telephone | 845-800-8795
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Fax | 845-673-5760
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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 | 019050-1
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License Number State | NY
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