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General NPI Number Information
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NPI Number | 1700100336
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Entity Type | Individual
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Provider Name | ERWIN K BUENASEDA PT
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Gender | Male
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 07/23/2015
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Provider Practice Location Address
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Address Line | 2701 KIRKWOOD HWY LOWER LEVEL
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City | WILMINGTON
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State | DE
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Zip | 19805-4911
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Country | US
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Telephone | 302-668-1768
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Fax | 302-668-1794
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Provider Business Mailing Address
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Address Line | 1265 WAYNE AVE STE 308 119 PROFESSIONAL BUILDING
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City | INDIANA
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State | PA
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Zip | 15701-3501
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Country | US
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Telephone | 724-081-8095
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Fax | 724-801-8147
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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 | JI-0001072
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License Number State | DE
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