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General NPI Number Information
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NPI Number | 1083857544
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Entity Type | Individual
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Provider Name | DELFIN BALINTEC ALEGA JR. P.T.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2009
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Last Update Date | 04/14/2009
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Provider Practice Location Address
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Address Line | 1987 ROUTE 52 STE 11
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City | LIBERTY
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State | NY
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Zip | 12754-8317
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Country | US
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Telephone | 845-292-2255
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Fax |
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Provider Business Mailing Address
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Address Line | 92 HASTINGS LN
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City | HAINESPORT
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State | NJ
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Zip | 08036-6241
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Country | US
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Telephone | 916-753-5254
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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 | 030974
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License Number State | NY
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