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General NPI Number Information
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NPI Number | 1386635076
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Entity Type | Organization
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Legal Business Name | A J TOLBERT & ASSOCIATES INC
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 08/23/2007
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Provider Practice Location Address
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Address Line | 1100 SHADOW WOOD DR
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-4049
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Country | US
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Telephone | 610-269-6100
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Fax | 610-873-6687
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Provider Business Mailing Address
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Address Line | 1100 SHADOW WOOD DR
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-4049
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Country | US
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Telephone | 610-269-6100
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Fax | 610-873-6687
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALFRED JAMES TOLBERT
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Credential | PHD
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Telephone | 610-269-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SL000071L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | D00378
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AT00281L
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License Number State | PA
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