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General NPI Number Information
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NPI Number | 1790782647
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Entity Type | Individual
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Provider Name | THOMAS JOSEPH SUSPENSKI P.T., A.T.C.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 797 E LANCASTER AVE. SUITE 2 MIND & BODY FITNESS INC D.B.A. HEALTH CHECK INC
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City | DOWNINGTOWN
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State | PA
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Zip | 19335
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Country | US
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Telephone | 610-269-5070
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Fax | 610-269-5074
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Provider Business Mailing Address
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Address Line | 797 E LANCASTER AVE. SUITE 2 MIND & BODY FITNESS INC D.B.A. HEALTH CHECK INC
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City | DOWNINGTOWN
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State | PA
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Zip | 19335
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Country | US
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Telephone | 610-269-5070
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Fax | 610-269-5074
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | PT 001192E
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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 | PT001192E
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License Number State | PA
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