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General NPI Number Information
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NPI Number | 1184845349
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Entity Type | Individual
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Provider Name | JO MALAHY FLETCHER D.P.T.
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 05/02/2011
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Provider Practice Location Address
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Address Line | 635 MADISON AVE
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City | NEW YORK
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State | NY
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Zip | 10022-1009
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Country | US
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Telephone | 212-224-7900
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Fax | 212-755-5634
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Provider Business Mailing Address
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Address Line | 580 MOUNTAIN AVE
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City | NORTH CALDWELL
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State | NJ
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Zip | 07006-4573
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Country | US
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Telephone | 619-227-6659
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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 | 33137
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 62 032904
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License Number State | NY
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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 | 40QA01385100
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License Number State | NJ
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