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General NPI Number Information
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NPI Number | 1013571165
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Entity Type | Organization
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Legal Business Name | NORTH JERSEY SCOLIOSIS AND PHYSICAL THERAPY SPECIALISTS, LLC
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Dates
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Enumeration Date | 04/24/2019
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Last Update Date | 04/24/2019
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Provider Practice Location Address
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Address Line | 580 LAFAYETTE RD ST K
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City | SPARTA
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State | NJ
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Zip | 07871
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Country | US
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Telephone | 862-268-0582
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Fax |
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Provider Business Mailing Address
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Address Line | 580 LAFAYETTE RD ST K
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City | SPARTA
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State | NJ
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Zip | 07871
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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 | OWNER/THERAPIST
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Name | LEA JOY ALLISON
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Credential | PT
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Telephone | 862-268-0582
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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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