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General NPI Number Information
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NPI Number | 1972819241
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Entity Type | Individual
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Provider Name | CHESTER JAY R TOLENTINO PT
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Gender | Male
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 06/26/2017
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Provider Practice Location Address
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Address Line | 4310 52ND ST
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City | WOODSIDE
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State | NY
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Zip | 11377-4542
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Country | US
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Telephone | 718-255-6229
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Fax | 718-255-1288
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Provider Business Mailing Address
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Address Line | 4341 52ND ST
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City | WOODSIDE
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State | NY
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Zip | 11377-4543
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Country | US
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Telephone | 718-255-6229
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Fax | 718-255-1288
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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 |
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License Number State |
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