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General NPI Number Information
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NPI Number | 1114095759
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Entity Type | Individual
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Provider Name | ROCCO DENOBILE JR. P.T
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Gender | Male
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 03/30/2011
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Provider Practice Location Address
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Address Line | 3117 BUHRE AVE
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City | BRONX
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State | NY
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Zip | 10461-4738
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Country | US
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Telephone | 718-822-2281
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Fax | 718-597-8485
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Provider Business Mailing Address
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Address Line | 3611 E TREMONT AVE
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City | BRONX
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State | NY
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Zip | 10465-2009
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Country | US
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Telephone | 718-904-9581
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Fax | 718-931-0125
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 026937-1
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License Number State | NY
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