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NPI 1124399258

NPI 1124399258 : ANTHONY D'ALONZO PT DPT : SOUDERTON, PA

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General NPI Number Information
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    NPI Number           |    1124399258
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    Entity Type          |    Individual 
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    Provider Name        |    ANTHONY D'ALONZO PT DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/20/2012
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    Last Update Date     |    01/20/2012
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Provider Practice Location Address
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    Address Line         |    66 S COUNTY LINE RD 
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    City                 |    SOUDERTON
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    State                |    PA
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    Zip                  |    18964-1252
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    Country              |    US
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    Telephone            |    215-721-7800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4268 MILORDS LN 
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    City                 |    DOYLESTOWN
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    State                |    PA
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    Zip                  |    18902-9643
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    Country              |    US
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    Telephone            |    
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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       |    PT018018
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    License Number State |    PA
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