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General NPI Number Information
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NPI Number | 1396181277
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Entity Type | Individual
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Provider Name | FONG LIN TJHIA PT
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Gender | Male
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Dates
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Enumeration Date | 05/17/2013
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Last Update Date | 05/17/2013
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Provider Practice Location Address
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Address Line | 420 LEXINGTON AVE. 2201
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City | NEW YORK
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State | NY
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Zip | 10070-0000
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Country | US
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Telephone | 212-499-4720
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Fax |
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Provider Business Mailing Address
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Address Line | 159 MADISON AVE 4 H
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City | NEW YORK
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State | NY
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Zip | 10016-5428
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Country | US
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Telephone | 212-779-9367
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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 | 2251E1200X
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Taxonomy Name | Ergonomics Physical Therapist
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License Number | 009612-1
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License Number State | NY
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