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General NPI Number Information
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NPI Number | 1114994647
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Entity Type | Individual
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Provider Name | JOANNE BUNDONIS PT
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Gender | Female
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7 SANFORD AVE
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City | BELLEVILLE
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State | NJ
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Zip | 07109-1221
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Country | US
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Telephone | 973-751-0200
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Fax | 973-751-4635
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Provider Business Mailing Address
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Address Line | 528 LONG HILL RD
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City | GILLETTE
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State | NJ
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Zip | 07933-1318
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Country | US
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Telephone | 908-604-4264
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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 | QAO6899
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License Number State | NJ
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