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General NPI Number Information
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NPI Number | 1154588002
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Entity Type | Organization
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Legal Business Name | BALANCE AND MOVEMENT REHABILITATION CENTER
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 08/26/2013
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Provider Practice Location Address
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Address Line | 33 ORCHARD PL
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City | LITTLE SILVER
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State | NJ
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Zip | 07739-1427
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Country | US
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Telephone | 732-320-0768
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Fax |
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Provider Business Mailing Address
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Address Line | 33 ORCHARD PL
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City | LITTLE SILVER
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State | NJ
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Zip | 07739-1427
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Country | US
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Telephone | 732-320-0768
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES DENNISON CURTIS
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Credential | MS, PT, DPT, CERT MT
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Telephone | 732-320-0768
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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 | 40QA00440200
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License Number State | NJ
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