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NPI 1326290651

NPI 1326290651 : VICTORIA SCHLEGEL SOWERS PTA : KING OF PRUSSIA, PA

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General NPI Number Information
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    NPI Number           |    1326290651
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    Entity Type          |    Individual 
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    Provider Name        |    VICTORIA SCHLEGEL SOWERS PTA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/17/2008
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    Last Update Date     |    10/17/2008
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Provider Practice Location Address
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    Address Line         |    600 W VALLEY FORGE RD 
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    City                 |    KING OF PRUSSIA
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    State                |    PA
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    Zip                  |    19406-1571
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    Country              |    US
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    Telephone            |    610-337-1775
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    Fax                  |    610-337-8681
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Provider Business Mailing Address
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    Address Line         |    120 VILLAGE DR 
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    City                 |    SCHWENKSVILLE
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    State                |    PA
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    Zip                  |    19473-1778
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    Country              |    US
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    Telephone            |    215-272-4838
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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        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    TE007506
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    License Number State |    PA
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