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General NPI Number Information
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NPI Number | 1093489452
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Entity Type | Organization
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Legal Business Name | HEALING HANDS ON PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 08/08/2021
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Last Update Date | 08/08/2021
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Provider Practice Location Address
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Address Line | 77 NEWARK AVE STE 3
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City | BELLEVILLE
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State | NJ
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Zip | 07109-4154
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Country | US
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Telephone | 201-277-4361
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Fax | 848-238-2009
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Provider Business Mailing Address
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Address Line | 77 NEWARK AVE STE 3
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City | BELLEVILLE
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State | NJ
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Zip | 07109-4154
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Country | US
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Telephone | 201-277-4361
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Fax | 848-238-2009
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY
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Name | MR. ALLAN ROQUE MENDEZ
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Credential | DPT, SCS
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Telephone | 973-870-2272
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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