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General NPI Number Information
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NPI Number | 1588741870
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Entity Type | Individual
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Provider Name | JOHN RAYMOND TOCCO DPT
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 12/05/2018
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Provider Practice Location Address
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Address Line | 701 W. SOMERDALE ROAD
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City | SOMERDALE
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State | NJ
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Zip | 08083
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Country | US
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Telephone | 856-504-3150
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Fax | 856-504-3157
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Provider Business Mailing Address
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Address Line | 306 W SOMERDALE RD
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City | VOORHEES
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State | NJ
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Zip | 08043-2237
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Country | US
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Telephone | 856-504-3150
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Fax | 856-504-3157
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 40QA01223500
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License Number State | NJ
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