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General NPI Number Information
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NPI Number | 1205376837
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Entity Type | Organization
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Legal Business Name | ONSITE REHABILITATION LLC
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Dates
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Enumeration Date | 03/01/2017
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Last Update Date | 03/01/2017
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Provider Practice Location Address
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Address Line | 96 PLEASANT HILL RD
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City | CHESTER
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State | NJ
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Zip | 07930-2135
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Country | US
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Telephone | 908-879-0960
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Fax | 908-879-0437
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Provider Business Mailing Address
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Address Line | PO BOX 794
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City | WHARTON
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State | NJ
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Zip | 07885-0794
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Country | US
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Telephone | 973-989-7905
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Fax | 908-879-0437
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Authorized Official
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Title or Position | OWNER
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Name | GREGORY WADE
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Credential | PT
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Telephone | 973-989-7905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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