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General NPI Number Information
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NPI Number | 1205888930
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Entity Type | Individual
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Provider Name | ERIN C MEINEKE PT, DPT, C/NDT
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Gender | Female
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 04/04/2022
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Provider Practice Location Address
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Address Line | 400 MORRIS AVE STE 210
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City | DENVILLE
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State | NJ
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Zip | 07834-1370
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Country | US
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Telephone | 973-298-0926
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Fax | 973-453-6330
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Provider Business Mailing Address
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Address Line | 31 GARNET DR
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City | OAK RIDGE
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State | NJ
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Zip | 07438-9722
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Country | US
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Telephone | 973-906-0533
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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 | 40QA01083200
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License Number State | NJ
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