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General NPI Number Information
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NPI Number | 1275879413
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Entity Type | Individual
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Provider Name | SINJU THOMAS DPT
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Gender | Male
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Dates
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Enumeration Date | 12/17/2012
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Last Update Date | 04/28/2014
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Provider Practice Location Address
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Address Line | 28B INDIAN ROCK PLAZA ROUTE 59
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City | SUFFERN
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State | NY
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Zip | 10901-4907
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Country | US
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Telephone | 845-368-2108
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Fax |
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Provider Business Mailing Address
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Address Line | 133 TRAILS END
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City | NEW CITY
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State | NY
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Zip | 10956-1309
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Country | US
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Telephone | 845-323-4220
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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 | 032083
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License Number State | NY
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