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General NPI Number Information
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NPI Number | 1275179350
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Entity Type | Organization
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Legal Business Name | CF THERAWORKS
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Dates
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Enumeration Date | 11/22/2019
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 4 BRIDGE ST
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City | METUCHEN
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State | NJ
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Zip | 08840-2273
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Country | US
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Telephone | 732-357-7469
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Fax |
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Provider Business Mailing Address
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Address Line | 171 NEW YORK AVE
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City | SOUTH PLAINFIELD
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State | NJ
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Zip | 07080-2012
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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 | OCCUPATIONAL THERAPIST
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Name | DIANE RASCO
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Credential | OTR/L
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Telephone | 732-357-7469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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