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General NPI Number Information
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NPI Number | 1144452723
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Entity Type | Individual
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Provider Name | JANE ML NGUYEN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/17/2009
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Last Update Date | 12/07/2022
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Provider Practice Location Address
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Address Line | 6031 RISING SUN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19111-6008
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Country | US
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Telephone | 267-538-5011
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Fax |
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Provider Business Mailing Address
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Address Line | 955 ROSEWOOD DR
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City | BLUE BELL
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State | PA
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Zip | 19422-3006
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Country | US
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Telephone | 215-266-9652
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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 | PT018595
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License Number State | PA
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