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General NPI Number Information
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NPI Number | 1659969814
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Entity Type | Individual
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Provider Name | JOSEPH FARABAUGH PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 01/04/2021
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Last Update Date | 01/04/2021
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Provider Practice Location Address
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Address Line | 2550 ROUTE 100 STE 120
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City | MACUNGIE
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State | PA
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Zip | 18062-9600
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Country | US
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Telephone | 484-426-2055
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Fax |
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Provider Business Mailing Address
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Address Line | 997L VILLAGE ROUND
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City | ALLENTOWN
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State | PA
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Zip | 18106-9783
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Country | US
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Telephone | 610-762-5186
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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 | PT029023
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License Number State | PA
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