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General NPI Number Information
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NPI Number | 1457804577
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Entity Type | Individual
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Provider Name | TOUSIF AHMED PT
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Gender | Male
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Dates
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Enumeration Date | 07/25/2016
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Last Update Date | 08/04/2016
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Provider Practice Location Address
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Address Line | 3201 JENNIFER CT
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City | VOORHEES
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State | NJ
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Zip | 08043-3003
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Country | US
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Telephone | 856-264-7024
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Fax | 856-210-1888
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Provider Business Mailing Address
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Address Line | 14 FEILER CT
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2618
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Country | US
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Telephone | 609-902-1118
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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 | PT025257
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 038036-1
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License Number State | NY
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