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General NPI Number Information
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NPI Number | 1265781660
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Entity Type | Individual
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Provider Name | CHRISTINE M DURBIN PT
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Gender | Female
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Dates
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Enumeration Date | 08/31/2012
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Last Update Date | 08/31/2012
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Provider Practice Location Address
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Address Line | 77 MADISON AVE
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7330
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Country | US
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Telephone | 855-638-4685
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Fax |
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Provider Business Mailing Address
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Address Line | 1 IRON FORGE SQUARE APT 20
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City | POMPTON LAKES
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State | NJ
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Zip | 07442-1770
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Country | US
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Telephone | 919-357-3983
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Fax |
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 40QA01312900
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License Number State | NJ
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