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General NPI Number Information
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NPI Number | 1689795437
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Entity Type | Individual
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Provider Name | THOMAS D TOLSON P.T.,E.C.S.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 07/17/2017
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Provider Practice Location Address
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Address Line | 150 MUNDY ST STE 2
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City | WILKES BARRE
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State | PA
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Zip | 18702-6830
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Country | US
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Telephone | 570-288-7181
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Fax | 570-288-7633
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Provider Business Mailing Address
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Address Line | 1511 ROUTE 212 APT 2
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City | QUAKERTOWN
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State | PA
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Zip | 18951-3322
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Country | US
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Telephone | 215-249-0920
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Fax | 215-249-1163
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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 | 2251E1300X
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Taxonomy Name | Clinical Electrophysiology Physical Therapist
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License Number | PT002678L
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License Number State | PA
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