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General NPI Number Information
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NPI Number | 1073989539
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Entity Type | Individual
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Provider Name | REBECCA GOLD KASHDAN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/18/2015
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Last Update Date | 08/18/2015
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Provider Practice Location Address
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Address Line | 1278 YARDVILLE ALLENTOWN RD
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City | ALLENTOWN
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State | NJ
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Zip | 08501-1866
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Country | US
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Telephone | 609-738-3143
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Fax |
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Provider Business Mailing Address
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Address Line | 21 CLARENCE AVE
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City | LONG BRANCH
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State | NJ
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Zip | 07740-4818
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Country | US
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Telephone | 732-927-0796
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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 | 40QA01620800
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License Number State | NJ
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