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General NPI Number Information
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NPI Number | 1861890568
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Entity Type | Individual
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Provider Name | JOSE ANTONIO ROJAS PT
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Gender | Male
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Dates
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Enumeration Date | 12/11/2014
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Last Update Date | 12/11/2014
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Provider Practice Location Address
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Address Line | 622 W 168TH ST
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City | NEW YORK
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State | NY
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Zip | 10032-3720
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Country | US
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Telephone | 212-305-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 7218 6TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11209-2606
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Country | US
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Telephone | 718-310-8472
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 031210
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License Number State | NY
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