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General NPI Number Information
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NPI Number | 1578592747
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Entity Type | Individual
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Provider Name | VLADIMIR TOKAR
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Gender | Male
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 11/13/2012
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Provider Practice Location Address
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Address Line | 8400 SHORE FRONT PKWY APT. 11N
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City | ROCKAWAY BEACH
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State | NY
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Zip | 11693-1607
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Country | US
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Telephone | 718-380-0555
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Fax | 718-380-1511
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Provider Business Mailing Address
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Address Line | 8400 SHORE FRONT PKWY APT 11N
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City | ROCKAWAY BEACH
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State | NY
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Zip | 11693-1822
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Country | US
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Telephone | 718-380-0555
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Fax | 718-380-1511
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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 | 018829
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License Number State | NY
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