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General NPI Number Information
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NPI Number | 1295991735
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Entity Type | Organization
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Legal Business Name | WORLD WIDE PHYSICAL AND MASSAGE THERAPY
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 86 BLOOMFIELD AVE BASEMENT
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City | NEWARK
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State | NJ
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Zip | 07104-1905
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Country | US
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Telephone | 973-900-5060
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Fax |
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Provider Business Mailing Address
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Address Line | 86 BLOOMFIELD AVE BASEMENT
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City | NEWARK
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State | NJ
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Zip | 07104-1905
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Country | US
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Telephone | 973-900-5060
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MISS JAMIN A CAMILLO
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Credential |
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Telephone | 973-900-5060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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