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General NPI Number Information
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NPI Number | 1114081387
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Entity Type | Individual
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Provider Name | JEANINE MARIE TROVATO PT
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Gender | Female
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 120 E 56TH ST SUITE 1010
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City | NEW YORK
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State | NY
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Zip | 10022-3607
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Country | US
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Telephone | 212-759-2211
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Fax |
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Provider Business Mailing Address
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Address Line | 62 W BAYVIEW AVE
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-1401
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Country | US
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Telephone | 201-906-8166
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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 | 026627-1
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License Number State | NY
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