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General NPI Number Information
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NPI Number | 1154672749
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Entity Type | Individual
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Provider Name | NOELLE IONADI PT, DPT, PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/24/2012
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 2701 QUEENS PLZ N FL 10
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-4022
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Country | US
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Telephone | 877-514-1442
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Fax |
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Provider Business Mailing Address
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Address Line | 1 LONGSTREET LN
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City | CRANBURY
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State | NJ
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Zip | 08512-2741
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Country | US
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Telephone | 732-406-6442
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00444800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 021006-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA01466200
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License Number State | NJ
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