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General NPI Number Information
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NPI Number | 1255121067
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Entity Type | Organization
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Legal Business Name | DENVILLE PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 333 ROUTE 46 STE 1-3
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City | MOUNTAIN LAKES
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State | NJ
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Zip | 07046-1743
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Country | US
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Telephone | 973-366-1600
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Fax | 973-366-2400
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Provider Business Mailing Address
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Address Line | 3155 STATE ROUTE 10 STE 112
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City | DENVILLE
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State | NJ
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Zip | 07834-3430
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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 | OFFICE MANAGER
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Name | STACY FERDINAND
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Credential |
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Telephone | 973-366-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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