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General NPI Number Information
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NPI Number | 1255342291
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Entity Type | Individual
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Provider Name | ALAINE MAR TRIUNFANTE P.T.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 10 PRINCE ST SUITE 5
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City | MONTICELLO
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State | NY
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Zip | 12701-1930
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Country | US
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Telephone | 845-791-2737
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Fax | 845-794-7943
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Provider Business Mailing Address
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Address Line | 150 CHANDLER LN
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City | MONTGOMERY
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State | NY
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Zip | 12549-1729
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Country | US
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Telephone | 845-457-9031
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Fax | 845-743-7439
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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 | 015860-1
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License Number State | NY
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