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General NPI Number Information
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NPI Number | 1316533763
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Entity Type | Organization
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Legal Business Name | JERSEY GIRL HEALTH AND WEALTH LLC
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Dates
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Enumeration Date | 12/18/2020
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 479 ROUTE 79
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City | MORGANVILLE
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State | NJ
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Zip | 07751-4061
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Country | US
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Telephone | 914-772-3870
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Fax |
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Provider Business Mailing Address
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Address Line | 136 WILCOX CT
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City | MATAWAN
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State | NJ
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Zip | 07747-3564
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Country | US
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Telephone | 914-772-3870
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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 | JANICE WOERNER
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Credential |
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Telephone | 914-772-3870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational 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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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