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General NPI Number Information
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NPI Number | 1215600937
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Entity Type | Organization
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Legal Business Name | VITALIZE PHYSICAL THERAPY & SPORTS REHAB
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Dates
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Enumeration Date | 07/28/2021
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 520 US HIGHWAY 9
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City | MANALAPAN
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State | NJ
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Zip | 07726-8264
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Country | US
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Telephone | 908-307-8442
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Fax |
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Provider Business Mailing Address
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Address Line | 9 EDINBURG LN
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5242
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | GEORGE ESKANDER
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Credential | PT, DPT
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Telephone | 908-307-8442
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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 |
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License Number State |
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