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NPI 1699748152

NPI 1699748152 : DANIEL L TOMPKINS P.T. : NORTH TONAWANDA, NY

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General NPI Number Information
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    NPI Number           |    1699748152
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    Entity Type          |    Individual 
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    Provider Name        |    DANIEL L TOMPKINS P.T.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/07/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3571 NIAGARA FALLS BLVD 
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    City                 |    NORTH TONAWANDA
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    State                |    NY
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    Zip                  |    14120-1200
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    Country              |    US
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    Telephone            |    716-695-7848
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    Fax                  |    716-695-0312
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Provider Business Mailing Address
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    Address Line         |    925 MCKINLEY AVE 
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    City                 |    NIAGARA FALLS
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    State                |    NY
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    Zip                  |    14305-1117
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    Country              |    US
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    Telephone            |    716-282-0772
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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       |    015041
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    License Number State |    NY
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