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General NPI Number Information
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NPI Number | 1275958449
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Entity Type | Organization
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Legal Business Name | PT SERVICES
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Dates
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Enumeration Date | 02/25/2014
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 216 SHUNPIKE RD
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City | CHATHAM
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State | NJ
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Zip | 07928-1855
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Country | US
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Telephone | 201-600-5898
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Fax |
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Provider Business Mailing Address
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Address Line | 216 SHUNPIKE RD
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City | CHATHAM
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State | NJ
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Zip | 07928-1855
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Country | US
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Telephone | 201-600-5898
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Fax | 201-604-6717
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Authorized Official
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Title or Position | OWNER
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Name | ASTAIRE PEREZ
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Credential |
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Telephone | 201-600-5898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 40QA00996900
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License Number State | NJ
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