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General NPI Number Information
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NPI Number | 1922289529
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Entity Type | Individual
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Provider Name | JOHN L BIELECKI III DPT
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Gender | Male
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Dates
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Enumeration Date | 11/25/2007
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Last Update Date | 02/18/2020
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Provider Practice Location Address
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Address Line | 200 LUTHER RD
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City | SHREWSBURY
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State | PA
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Zip | 17361-1726
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Country | US
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Telephone | 717-495-1432
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Fax |
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Provider Business Mailing Address
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Address Line | 2734 MEADOW CROSS WAY
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City | YORK
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State | PA
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Zip | 17402-8537
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Country | US
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Telephone | 717-495-1432
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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 | 015328
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License Number State | PA
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