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General NPI Number Information
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NPI Number | 1245195700
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Entity Type | Organization
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Legal Business Name | GARDEN STATE THERAPY MANALAPAN
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 711 TENNENT RD
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City | MANALAPAN
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State | NJ
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Zip | 07726-3127
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Country | US
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Telephone | 732-414-6060
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Fax | 732-782-8182
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Provider Business Mailing Address
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Address Line | 711 TENNENT RD
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City | MANALAPAN
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State | NJ
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Zip | 07726-3127
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Country | US
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Telephone | 732-414-6060
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Fax | 732-782-8182
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Authorized Official
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Title or Position | OWNER
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Name | NOAH MILLER
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Credential |
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Telephone | 908-415-5414
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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 |
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License Number State |
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