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General NPI Number Information
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NPI Number | 1114805744
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Entity Type | Individual
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Provider Name | PATRICIA M MARRONE
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Gender | Female
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 8000 FELLOWSHIP RD
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City | BASKING RIDGE
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State | NJ
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Zip | 07920-3915
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Country | US
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Telephone | 908-340-3313
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Fax | 908-647-3963
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Provider Business Mailing Address
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Address Line | 710 NEW YORK AVE
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City | RARITAN
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State | NJ
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Zip | 08869-1206
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Country | US
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Telephone | 908-581-0410
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 40QB00236200
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License Number State | NJ
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