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NPI 1497961833

NPI 1497961833 : JOSEPH L SCHEIDELER M.S. P.T. : DELRAN, NJ

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General NPI Number Information
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    NPI Number           |    1497961833
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH L SCHEIDELER M.S. P.T.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/15/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    124 FOX CHASE DR 
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    City                 |    DELRAN
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    State                |    NJ
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    Zip                  |    08075-2321
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    Country              |    US
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    Telephone            |    856-461-5475
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    124 FOX CHASE DR 
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    City                 |    DELRAN
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    State                |    NJ
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    Zip                  |    08075-2321
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    Country              |    US
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    Telephone            |    856-461-5475
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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       |    40QA00110800
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    License Number State |    NJ
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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       |    PT002661L
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    License Number State |    PA
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