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General NPI Number Information
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NPI Number | 1043763931
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Entity Type | Organization
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Legal Business Name | C.A.R.Y.N. PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 07/27/2016
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 82 N. SUMMIT ST. 1ST FLOOR, SUITE D
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City | TENAFLY
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State | NJ
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Zip | 07670-2027
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Country | US
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Telephone | 201-537-4888
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Fax | 201-734-6132
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Provider Business Mailing Address
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Address Line | 233 GARDEN PL
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City | ORADELL
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State | NJ
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Zip | 07649-2217
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Country | US
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Telephone | 201-537-4888
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Fax | 201-734-6132
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MS. PURISSA ALCUINO SEVILLE
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Credential | PT
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Telephone | 210-537-4888
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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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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 40QA008403 00
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License Number State | NJ
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