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General NPI Number Information
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NPI Number | 1295295913
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Entity Type | Individual
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Provider Name | CHARLES EDWIN PARKER III PT
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Gender | Male
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 77 SCHANCK RD STE B-17
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City | FREEHOLD
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State | NJ
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Zip | 07728-2964
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Country | US
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Telephone | 732-414-6060
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Fax |
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Provider Business Mailing Address
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Address Line | 1 SWIMMING RIVER CT
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City | BARNEGAT
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State | NJ
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Zip | 08005-5624
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Country | US
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Telephone | 646-358-6054
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251H1200X
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Taxonomy Name | Hand Physical Therapist
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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 | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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Taxonomy #5
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA01846900
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License Number State | NJ
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