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General NPI Number Information
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NPI Number | 1407701295
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Entity Type | Individual
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Provider Name | ISABELO RICO CESPON OSMENA JR. PT
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Gender | Male
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 21 DANFORTH ST
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City | HOOSICK FALLS
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State | NY
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Zip | 12090-1223
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Country | US
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Telephone | 518-686-4371
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Fax | 518-686-5397
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Provider Business Mailing Address
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Address Line | 432 SOUTH ST APT C7
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City | BENNINGTON
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State | VT
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Zip | 05201-2849
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Country | US
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Telephone | 347-258-4383
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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 | 042457
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License Number State | NY
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