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General NPI Number Information
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NPI Number | 1356807119
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Entity Type | Individual
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Provider Name | JOHN SCHANNE PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 02/18/2019
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 451 BALTIMORE PIKE
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City | SPRINGFIELD
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State | PA
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Zip | 19064-3810
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Country | US
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Telephone | 610-541-7872
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Fax |
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Provider Business Mailing Address
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Address Line | 24 FOX HAVEN LN
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City | MULLICA HILL
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State | NJ
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Zip | 08062-9602
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Country | US
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Telephone | 856-472-0342
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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 | PT031870
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License Number State | PA
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