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General NPI Number Information
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NPI Number | 1780997353
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Entity Type | Individual
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Provider Name | JOMAH SISON LUMAGUI DPT
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Gender | Female
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Dates
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Enumeration Date | 07/23/2010
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Last Update Date | 09/23/2020
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Provider Practice Location Address
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Address Line | 3744 75TH ST BSMT
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-6444
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Country | US
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Telephone | 718-446-0437
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Fax | 718-446-1984
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Provider Business Mailing Address
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Address Line | 4237 JUDGE ST
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City | ELMHURST
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State | NY
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Zip | 11373-2554
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Country | US
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Telephone | 718-406-7689
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Fax | 718-446-1984
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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 | 032089
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License Number State | NY
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