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General NPI Number Information
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NPI Number | 1861499345
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Entity Type | Individual
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Provider Name | ANTHONY MARZIANO JR. MPT
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Gender | Male
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 06/30/2010
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Provider Practice Location Address
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Address Line | 1410 MANOA RD
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3208
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Country | US
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Telephone | 610-896-9000
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Fax | 610-896-4385
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Provider Business Mailing Address
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Address Line | 237 TALBOT DR
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City | BROOMALL
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State | PA
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Zip | 19008-3728
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Country | US
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Telephone | 610-356-4666
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Fax | 610-896-4385
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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 | PT006241L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2251C2600X
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Taxonomy Name | Cardiopulmonary Physical Therapist
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License Number | PT006241L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2251E1200X
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Taxonomy Name | Ergonomics Physical Therapist
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License Number | PT006241L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 2251E1300X
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Taxonomy Name | Clinical Electrophysiology Physical Therapist
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License Number | PT006241L
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | PT006241L
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 2251H1200X
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Taxonomy Name | Hand Physical Therapist
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License Number | PT006241L
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License Number State | PA
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Taxonomy #7
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | PT006241L
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License Number State | PA
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Taxonomy #8
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT006241L
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License Number State | PA
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Taxonomy #9
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | PT006241L
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License Number State | PA
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Taxonomy #10
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT006241L
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License Number State | PA
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