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General NPI Number Information
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NPI Number | 1093198756
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Entity Type | Individual
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Provider Name | JUDITH WEINBERGER
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Gender | Female
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Dates
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Enumeration Date | 06/30/2015
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Last Update Date | 06/30/2015
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Provider Practice Location Address
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Address Line | 12-15 SADDLE RIVER RD
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City | FAIR LAWN
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State | NJ
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Zip | 07410-5808
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Country | US
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Telephone | 201-797-9522
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Fax |
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Provider Business Mailing Address
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Address Line | 12-15 SADDLE RIVER RD
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City | FAIR LAWN
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State | NJ
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Zip | 07410-5808
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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 |
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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 | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | 46TR0048570
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | 0022531
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License Number State | NY
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