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General NPI Number Information
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NPI Number | 1316861230
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Entity Type | Individual
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Provider Name | EDWARD MARTE
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Gender |
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 765 ROUTE 17
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City | PARAMUS
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State | NJ
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Zip | 07652-3112
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Country | US
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Telephone | 201-843-3427
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Fax | 201-701-0313
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Provider Business Mailing Address
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Address Line | 765 ROUTE 17
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City | PARAMUS
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State | NJ
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Zip | 07652-3112
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Country | US
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Telephone | 201-843-3427
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Fax | 201-701-0313
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 46TA09267800
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License Number State | NJ
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