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General NPI Number Information
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NPI Number | 1023969607
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Entity Type | Individual
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Provider Name | NOLAN BRODSKY
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Gender |
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 4505 ROUTE 9 N
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City | HOWELL
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State | NJ
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Zip | 07731-3380
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Country | US
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Telephone | 732-901-5553
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Fax |
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Provider Business Mailing Address
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Address Line | 5 GILMORE RD
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City | EWING
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State | NJ
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Zip | 08628-3214
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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 |
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Name |
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Credential |
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Telephone |
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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 | 40QA02398300
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License Number State | NJ
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