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General NPI Number Information
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NPI Number | 1255579728
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Entity Type | Organization
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Legal Business Name | TRISTAR PHYSICAL THERAPY SOLUTIONS
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Dates
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Enumeration Date | 01/22/2009
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Last Update Date | 01/22/2009
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Provider Practice Location Address
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Address Line | 62 OAKLAND MILLS RD 1
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City | MANALAPAN
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State | NJ
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Zip | 07726-8600
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Country | US
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Telephone | 732-780-6795
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Fax | 732-462-2634
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Provider Business Mailing Address
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Address Line | 62 OAKLAND MILLS RD 1
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City | MANALAPAN
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State | NJ
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Zip | 07726-8600
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Country | US
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Telephone | 732-780-6795
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Fax | 732-462-2634
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Authorized Official
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Title or Position | OWNER
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Name | DR. MURUGAN RAMAIAH
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Credential | DPT
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Telephone | 732-780-6795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 40QA00296800
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License Number State | NJ
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