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General NPI Number Information
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NPI Number | 1013249770
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Entity Type | Organization
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Legal Business Name | HOLISTIC MANUAL PHYSICAL THERAPY, PA
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Dates
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Enumeration Date | 02/05/2010
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Last Update Date | 04/15/2010
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Provider Practice Location Address
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Address Line | 61 GRAND AVE
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-3572
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Country | US
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Telephone | 201-568-2044
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Fax | 201-568-7455
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Provider Business Mailing Address
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Address Line | 61 GRAND AVE
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-3572
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Country | US
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Telephone | 201-568-2044
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Fax | 201-568-7455
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | NACHUM LOSS
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Credential | PT
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Telephone | 201-568-2044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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