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General NPI Number Information
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NPI Number | 1023574514
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Entity Type | Organization
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Legal Business Name | HUMBLE CARE PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 02/20/2019
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Last Update Date | 02/27/2020
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Provider Practice Location Address
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Address Line | 75 MONTGOMERY ST FL 501
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City | JERSEY CITY
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State | NJ
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Zip | 07302-3726
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Country | US
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Telephone | 201-433-6001
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Fax | 201-433-6634
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Provider Business Mailing Address
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Address Line | 701 NEWARK AVE STE 212
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City | ELIZABETH
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State | NJ
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Zip | 07208-3560
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Country | US
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Telephone | 908-527-6001
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Fax | 908-527-6634
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/ PRESIDENT
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Name | JAMES PUMARADA
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Credential | DPT
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Telephone | 908-527-6001
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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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