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General NPI Number Information
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NPI Number | 1396473542
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Entity Type | Individual
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Provider Name | BRANDON J CHOATE
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Gender | Male
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Dates
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Enumeration Date | 08/14/2022
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Last Update Date | 08/14/2022
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Provider Practice Location Address
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Address Line | 201 W CENTRE ST
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City | MAHANOY CITY
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State | PA
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Zip | 17948-2505
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Country | US
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Telephone | 272-639-5701
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Fax |
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Provider Business Mailing Address
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Address Line | 3055 VILLAGE RD
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City | ORWIGSBURG
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State | PA
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Zip | 17961-9678
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Country | US
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Telephone | 570-985-9216
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT030775
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License Number State | PA
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