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General NPI Number Information
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NPI Number | 1619602612
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Entity Type | Individual
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Provider Name | VINCENT PINGHERA PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 07/22/2022
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Last Update Date | 07/22/2022
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Provider Practice Location Address
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Address Line | 145 PIERMONT RD
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City | TENAFLY
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State | NJ
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Zip | 07670-1022
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Country | US
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Telephone | 201-568-3355
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Fax | 201-568-3350
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Provider Business Mailing Address
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Address Line | PO BOX 19
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City | NEW MILFORD
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State | NJ
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Zip | 07646-0019
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Country | US
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Telephone | 201-568-3355
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Fax | 201-568-3350
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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 | 40QA02091300
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License Number State | NJ
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