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General NPI Number Information
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NPI Number | 1760449797
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Entity Type | Individual
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Provider Name | PAUL E CHOLEWA PT
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Gender | Male
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 181 PATRICIA GENOVA DRIVE
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City | NEWINGTON
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State | CT
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Zip | 06111
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Country | US
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Telephone | 860-667-5480
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Fax |
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Provider Business Mailing Address
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Address Line | 29 DUDLEY ROAD
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City | WETHERSFIELD
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State | CT
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Zip | 06109
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Country | US
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Telephone | 860-529-9897
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 0006683
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License Number State | CT
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