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NPI 1134430390

NPI 1134430390 : ADVANCED REHABILITATION AND WELLNESS CENTER PC : CLIFTON, NJ

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General NPI Number Information
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    NPI Number           |    1134430390
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADVANCED REHABILITATION AND WELLNESS CENTER PC 
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Dates
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    Enumeration Date     |    06/23/2010
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    Last Update Date     |    01/05/2026
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Provider Practice Location Address
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    Address Line         |    1135 CLIFTON AVE STE 105 
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    City                 |    CLIFTON
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    State                |    NJ
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    Zip                  |    07013-3643
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    Country              |    US
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    Telephone            |    973-928-3575
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    Fax                  |    973-928-3574
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Provider Business Mailing Address
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    Address Line         |    1135 CLIFTON AVE STE 105 
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    City                 |    CLIFTON
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    State                |    NJ
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    Zip                  |    07013-3643
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    Country              |    US
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    Telephone            |    973-928-3575
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    Fax                  |    973-928-3574
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. FRANK  ANDERSON 
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    Credential           |    DC
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    Telephone            |    973-928-3575
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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