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General NPI Number Information
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NPI Number | 1376766733
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Entity Type | Individual
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Provider Name | ROGER EJ TSAI DPT, OCS, GCS
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Gender | Male
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 12/26/2018
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Provider Practice Location Address
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Address Line | 972 BRUSH HOLLOW RD
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City | WESTBURY
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State | NY
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Zip | 11590-1740
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Country | US
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Telephone | 516-876-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 414 S SERVICE RD # 254
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City | PATCHOGUE
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State | NY
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Zip | 11772-2254
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Country | US
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Telephone | 631-839-6830
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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 | 017062
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License Number State | NY
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