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General NPI Number Information
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NPI Number | 1548413511
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Entity Type | Individual
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Provider Name | R TROY Q NOVAL P.T.
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Gender | Male
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Dates
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Enumeration Date | 11/03/2008
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Last Update Date | 07/02/2018
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Provider Practice Location Address
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Address Line | 195 TOWNLINE RD
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City | PEARL RIVER
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State | NY
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Zip | 10965
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Country | US
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Telephone | 845-268-7245
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Fax | 845-268-7245
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Provider Business Mailing Address
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Address Line | PO BOX 286
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City | ORANGEBURG
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State | NY
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Zip | 10962-0286
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Country | US
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Telephone | 845-268-7245
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Fax | 845-268-7245
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 022420-1
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License Number State | NY
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