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General NPI Number Information
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NPI Number | 1902027345
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Entity Type | Individual
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Provider Name | ANDREW G PROKOP III B.S., M.S.P.T.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 215 BISCAYNE RD
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City | BARNEGAT
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State | NJ
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Zip | 08005-2616
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Country | US
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Telephone | 732-330-6954
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Fax |
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Provider Business Mailing Address
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Address Line | 215 BISCAYNE RD
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City | BARNEGAT
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State | NJ
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Zip | 08005-2616
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Country | US
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Telephone | 732-330-6954
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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 | 40QA00681000
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License Number State | NJ
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