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General NPI Number Information
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NPI Number | 1033155254
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Entity Type | Individual
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Provider Name | KIMBERLY SAWCZYN PT
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Gender | Female
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 09/06/2021
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Provider Practice Location Address
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Address Line | 1 GREENWOOD AVE SUITE 100
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City | MONTCLAIR
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State | NJ
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Zip | 07042-3649
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Country | US
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Telephone | 973-746-2424
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Fax | 973-746-5030
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Provider Business Mailing Address
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Address Line | 644 VALLEY RD
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City | GILLETTE
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State | NJ
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Zip | 07933-2012
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Country | US
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Telephone | 908-991-3761
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Fax | 908-991-3770
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 40QA00990100
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License Number State | NJ
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