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General NPI Number Information
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NPI Number | 1134856396
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Entity Type | Organization
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Legal Business Name | PILATES ADVANTAGE PHYSICAL THERAPY
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Dates
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Enumeration Date | 08/06/2022
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 39 S FULLERTON AVE STE 1
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City | MONTCLAIR
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State | NJ
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Zip | 07042-6303
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Country | US
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Telephone | 862-622-6289
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Fax |
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Provider Business Mailing Address
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Address Line | 39 S FULLERTON AVE STE 1
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City | MONTCLAIR
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State | NJ
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Zip | 07042-6303
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ROSANNA STRELNICK
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Credential |
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Telephone | 201-663-0961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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