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NPI 1437156817

NPI 1437156817 : ANTHONY MARZIANO JR BSC MPT PC : WYNNEWOOD, PA

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General NPI Number Information
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    NPI Number           |    1437156817
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANTHONY MARZIANO JR BSC MPT PC 
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Dates
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    Enumeration Date     |    06/30/2005
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    Last Update Date     |    09/13/2007
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Provider Practice Location Address
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    Address Line         |    1410 MANOA RD 
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    City                 |    WYNNEWOOD
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    State                |    PA
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    Zip                  |    19096-3208
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    Country              |    US
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    Telephone            |    610-896-9000
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    Fax                  |    610-896-4385
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Provider Business Mailing Address
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    Address Line         |    1410 MANOA RD 
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    City                 |    WYNNEWOOD
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    State                |    PA
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    Zip                  |    19096-3208
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    Country              |    US
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    Telephone            |    610-896-9000
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    Fax                  |    610-896-4385
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |    MR. ANTHONY  MARZIANO JR.
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    Credential           |    MPT
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    Telephone            |    610-896-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251C2600X
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    Taxonomy Name        |    Cardiopulmonary Physical Therapist
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    License Number       |    PT006241L
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    2251E1200X
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    Taxonomy Name        |    Ergonomics Physical Therapist
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    License Number       |    PT006241L
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    2251E1300X
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    Taxonomy Name        |    Clinical Electrophysiology Physical Therapist
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    License Number       |    PT006241L
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    License Number State |    PA
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Taxonomy #4
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    Taxonomy Code        |    2251G0304X
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    Taxonomy Name        |    Geriatric Physical Therapist
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    License Number       |    PT006241L
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    License Number State |    PA
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Taxonomy #5
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    Taxonomy Code        |    2251H1200X
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    Taxonomy Name        |    Hand Physical Therapist
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    License Number       |    PT006241L
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    License Number State |    PA
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Taxonomy #6
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    Taxonomy Code        |    2251N0400X
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    Taxonomy Name        |    Neurology Physical Therapist
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    License Number       |    PT006241L
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    License Number State |    PA
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Taxonomy #7
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    Taxonomy Code        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    PT006241L
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    License Number State |    PA
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Taxonomy #8
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    Taxonomy Code        |    2251S0007X
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    Taxonomy Name        |    Sports Physical Therapist
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    License Number       |    PT006241L
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    License Number State |    PA
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Taxonomy #9
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    PT006241L
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    License Number State |    PA
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Taxonomy #10
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT006241
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    License Number State |    PA
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