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General NPI Number Information
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NPI Number | 1649842139
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Entity Type | Individual
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Provider Name | JONATHAN TERMAN PHYSICAL THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 131 KENT RD
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City | NEW MILFORD
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State | CT
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Zip | 06776-3485
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Country | US
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Telephone | 860-350-3330
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Fax |
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Provider Business Mailing Address
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Address Line | 282 CUSHMAN RD
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City | PATTERSON
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State | NY
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Zip | 12563-2637
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Country | US
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Telephone | 845-319-6151
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 014160-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 013715
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License Number State | CT
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