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General NPI Number Information
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NPI Number | 1023529724
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Entity Type | Organization
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Legal Business Name | BE BALANCED PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 10/20/2017
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 1311 ROUTE 37 W
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City | TOMS RIVER
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State | NJ
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Zip | 08755-5049
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Country | US
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Telephone | 908-612-6005
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Fax |
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Provider Business Mailing Address
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Address Line | 1311 ROUTE 37 W STE 5
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City | TOMS RIVER
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State | NJ
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Zip | 08755-5049
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Country | US
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Telephone | 732-998-8965
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Fax | 732-569-6981
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. ROBYN SALVO
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Credential |
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Telephone | 908-612-6005
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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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