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General NPI Number Information
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NPI Number | 1184420036
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Entity Type | Organization
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Legal Business Name | NJ PERFORMANCE HEALTH
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 317 RUES LN
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3755
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Country | US
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Telephone | 908-907-0746
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Fax |
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Provider Business Mailing Address
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Address Line | 32 MULBERRY DR
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City | MANALAPAN
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State | NJ
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Zip | 07726-4172
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Country | US
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Telephone | 908-907-0746
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JARED BORNSTEIN
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Credential |
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Telephone | 908-907-0746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational 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 | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical 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 | 363LP2300X
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Taxonomy Name | Primary Care 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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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