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General NPI Number Information
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NPI Number | 1598694622
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Entity Type | Individual
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Provider Name | THOMAS GILBERT PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 12109 IROQUOIS RD
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City | CONNEAUT LAKE
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State | PA
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Zip | 16316-3341
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Country | US
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Telephone | 814-283-6570
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Fax |
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Provider Business Mailing Address
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Address Line | 11864 OAKMONT DR
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City | CONNEAUT LAKE
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State | PA
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Zip | 16316-4040
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Country | US
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Telephone | 724-678-9330
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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 | PT034227
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License Number State | PA
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