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General NPI Number Information
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NPI Number | 1275712622
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Entity Type | Organization
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Legal Business Name | HEALING PHYSICAL THERAPY SERVICES
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 12 WESTMINSTER CT
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City | BELLE MEAD
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State | NJ
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Zip | 08502-5350
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Country | US
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Telephone | 908-904-4657
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Fax |
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Provider Business Mailing Address
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Address Line | 12 WESTMINSTER CT
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City | BELLE MEAD
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State | NJ
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Zip | 08502-5350
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Country | US
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Telephone | 908-904-4657
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. KEVIN LUKE LYNCH SR.
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Credential |
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Telephone | 908-904-4657
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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 | 40QA01257100
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License Number State | NJ
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