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General NPI Number Information
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NPI Number | 1669599023
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Entity Type | Individual
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Provider Name | MICHELLE MARIE DOLINSKY PTA
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Gender | Female
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1000 SCHUYLKILL MANOR RD
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City | POTTSVILLE
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State | PA
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Zip | 17901-3862
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Country | US
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Telephone | 570-622-9666
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Fax |
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Provider Business Mailing Address
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Address Line | 3 JOHN ST
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City | TAMAQUA
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State | PA
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Zip | 18252-4024
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Country | US
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Telephone | 570-668-4099
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | TE000186L
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License Number State | PA
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