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General NPI Number Information
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NPI Number | 1639055213
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Entity Type | Individual
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Provider Name | BENJAMIN R THARPE DPT
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Gender | Male
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 802 WARRENDALE VILLAGE DR
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City | WARRENDALE
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State | PA
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Zip | 15086-7589
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Country | US
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Telephone | 724-719-2326
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Fax |
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Provider Business Mailing Address
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Address Line | 470 JOHNSON RD STE 140
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City | WASHINGTON
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State | PA
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Zip | 15301-8977
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Country | US
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Telephone | 724-206-9603
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Fax | 724-223-2064
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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 | PT033516
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License Number State | PA
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