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General NPI Number Information
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NPI Number | 1982960779
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Entity Type | Individual
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Provider Name | DAVID JAMES VERZELLA P.T.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2012
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 1120 W TOWNSHIP LINE RD STE 110
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City | HAVERTOWN
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State | PA
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Zip | 19083-4930
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Country | US
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Telephone | 267-281-5253
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Fax | 267-281-5253
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Provider Business Mailing Address
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Address Line | 1311 MAMARONECK AVE STE 140
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City | WHITE PLAINS
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State | NY
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Zip | 10605-5224
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Country | US
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Telephone | 914-294-4050
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Fax | 631-760-8306
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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 | PT021396
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License Number State | PA
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