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General NPI Number Information
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NPI Number | 1093706814
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Entity Type | Organization
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Legal Business Name | KARL MANSER, P.T., P.A.
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Dates
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Enumeration Date | 11/01/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200 ENGLE ST SUITE 17
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2440
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Country | US
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Telephone | 201-569-2320
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Fax | 201-569-2321
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Provider Business Mailing Address
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Address Line | 200 ENGLE ST SUITE 17
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2440
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Country | US
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Telephone | 201-569-2320
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Fax | 201-569-2321
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MR. KARL EDWARD MANSER
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Credential | P.T.
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Telephone | 201-569-2320
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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 | 40QA00251000
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License Number State | NJ
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