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General NPI Number Information
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NPI Number | 1497797989
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Entity Type | Individual
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Provider Name | JOANNE AMBROGI PT
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Gender | Female
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 02/25/2013
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Provider Practice Location Address
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Address Line | 2000 PENNSYLVANIA AVE SUITE 208
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City | WILMINGTON
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State | DE
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Zip | 19806-2450
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Country | US
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Telephone | 610-368-1006
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 COVENTRY DR
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City | WILMINGTON
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State | DE
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Zip | 19810-3919
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Country | US
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Telephone | 610-368-1006
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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 | J1001634
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License Number State | DE
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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 | PT015364
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License Number State | PA
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