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General NPI Number Information
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NPI Number | 1053776583
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Entity Type | Organization
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Legal Business Name | VOLTAIRE BERMUDO CONSULTING AND PHYSICAL THERAPY, LLC.
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Dates
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Enumeration Date | 12/29/2015
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Last Update Date | 12/29/2015
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Provider Practice Location Address
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Address Line | 560 SYLVAN AVE STE 1270
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-3119
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Country | US
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Telephone | 201-696-6193
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Fax |
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Provider Business Mailing Address
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Address Line | 9 BROWNSTONE WAY APT 419
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-1213
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Country | US
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Telephone | 201-696-6193
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | VOLTAIRE BERMUDO
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Credential | P.T
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Telephone | 201-696-6193
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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 | 40QA01383000
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License Number State | NJ
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