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General NPI Number Information
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NPI Number | 1003772690
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Entity Type | Organization
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Legal Business Name | CC THERAPY MEDICAL GROUP OF NJ, P.A.
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 145 PALISADE ST STE 200
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City | DOBBS FERRY
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State | NY
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Zip | 10522-1627
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Country | US
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Telephone | 240-426-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 145 PALISADE ST STE 200
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City | DOBBS FERRY
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State | NY
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Zip | 10522-1627
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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 | PRESIDENT
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Name | MICHAEL SCAHILL
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Credential | MD
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Telephone | 240-426-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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