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General NPI Number Information
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NPI Number | 1710559026
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Entity Type | Individual
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Provider Name | PHIL JAMORA PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 07/15/2021
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 1919 CHESTNUT ST STE 104
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City | PHILADELPHIA
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State | PA
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Zip | 19103-3456
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Country | US
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Telephone | 215-564-1110
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Fax | 215-227-2739
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Provider Business Mailing Address
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Address Line | 1311 MAMARONECK AVE STE 140
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City | WHITE PLAINS
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State | NY
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Zip | 10605-5224
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Country | US
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Telephone | 914-294-4050
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Fax | 631-760-8306
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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 | PT029818
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | TPT023454
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License Number State | PA
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