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General NPI Number Information
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NPI Number | 1033911466
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Entity Type | Organization
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Legal Business Name | SNF PHYSIATRY SERVICES CT PLLC
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 992 COOKE ST
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City | WATERBURY
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State | CT
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Zip | 06704-1912
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Country | US
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Telephone | 732-813-0799
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Fax |
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Provider Business Mailing Address
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Address Line | 185 ROUTE 70 STE 305
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City | TOMS RIVER
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State | NJ
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Zip | 08755-0911
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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
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Name | JAMES COLE
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Credential |
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Telephone | 732-813-0799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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