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General NPI Number Information
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NPI Number | 1942180112
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Entity Type | Individual
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Provider Name | ALEXANDER RODLI TIETJENS DPT
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Gender | Male
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Dates
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Enumeration Date | 09/06/2025
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Last Update Date | 09/06/2025
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Provider Practice Location Address
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Address Line | 875 PINES DR
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City | HUNTINGDON
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State | PA
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Zip | 16652-3029
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Country | US
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Telephone | 814-506-5527
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Fax |
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Provider Business Mailing Address
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Address Line | 875 PINES DR
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City | HUNTINGDON
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State | PA
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Zip | 16652-3029
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Country | US
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Telephone |
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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 | PT029738
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License Number State | PA
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