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General NPI Number Information
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NPI Number | 1568507051
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Entity Type | Individual
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Provider Name | EWA GASIEWSKI PT
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2716 ORTHODOX ST
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City | PHILADELPHIA
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State | PA
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Zip | 19137-1604
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Country | US
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Telephone | 215-743-4435
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Fax | 215-743-8848
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Provider Business Mailing Address
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Address Line | 16 PROVIDENCE CT
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City | NEWTOWN
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State | PA
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Zip | 18940-9796
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Country | US
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Telephone | 215-497-9399
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Fax | 215-743-8848
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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 | PT009392L
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License Number State | PA
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