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General NPI Number Information
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NPI Number | 1366657876
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Entity Type | Individual
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Provider Name | PAUL G CHIODO M.S, OTR L
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 151 RT. 10 EAST SUITE 201
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City | SUCCASUNNA
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State | NJ
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Zip | 07876
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Country | US
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Telephone | 973-252-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 48 LEHIGH ST
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City | WHARTON
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State | NJ
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Zip | 07885-2508
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Country | US
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Telephone | 973-216-3656
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 46TR00357800
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License Number State | NJ
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