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General NPI Number Information
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NPI Number | 1124001870
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Entity Type | Individual
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Provider Name | LAWRENCE SEGUI RAMISCAL PT,DPT,OCS,FAAOMPT
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Gender | Male
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 05/16/2014
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Provider Practice Location Address
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Address Line | 11 CADILLAC RD
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City | BURLINGTON
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State | NJ
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Zip | 08016-4815
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Country | US
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Telephone | 609-880-0880
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Fax | 609-227-4423
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Provider Business Mailing Address
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Address Line | 22 WOODSTONE LN
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City | BURLINGTON
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State | NJ
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Zip | 08016-4333
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Country | US
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Telephone | 609-721-1492
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Fax | 609-227-4423
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 40QA00943200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State | NJ
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