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Individual
JOHN E BEARER
Active
Individual
JOHN E BEARER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005201
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10076FT
PREFERRED CARE
NY
01
—
7024316
AETNA
NY
01
—
P011005201
BLUE CHOICE
NY
01
—
P012005201
BCBS
NY
Enumeration date
02/02/2006
Last updated
08/20/2008
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