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General NPI Number Information
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NPI Number | 1093945693
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Entity Type | Individual
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Provider Name | JUDY LOZADA CABINIAN P.T.
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Gender | Female
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Dates
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Enumeration Date | 07/17/2009
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Last Update Date | 07/17/2009
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Provider Practice Location Address
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Address Line | NEW ROAD AND CENTRAL AVENUE
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City | LINWOOD
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State | NJ
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Zip | 08221
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Country | US
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Telephone | 609-927-7827
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Fax | 609-927-7431
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Provider Business Mailing Address
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Address Line | 313 WYTHE RD
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City | EGG HARBOR TOWNSHIP
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State | NJ
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Zip | 08234-6402
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Country | US
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Telephone | 609-677-1197
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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 | PT40QA00700100
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License Number State | NJ
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