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General NPI Number Information
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NPI Number | 1245395235
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Entity Type | Individual
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Provider Name | HUMBERTO COLMENARES P.T.
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Gender | Male
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 02/27/2020
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Provider Practice Location Address
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Address Line | 75 MONTGOMERY ST FL 501
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City | JERSEY CITY
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State | NJ
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Zip | 07302-3726
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Country | US
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Telephone | 201-433-6001
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Fax | 201-433-6634
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Provider Business Mailing Address
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Address Line | 701 NEWARK AVE STE 212
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City | ELIZABETH
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State | NJ
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Zip | 07208-3560
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Country | US
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Telephone | 908-527-6001
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Fax | 908-527-6634
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 40QA00489600
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License Number State | NJ
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