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General NPI Number Information
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NPI Number | 1326639543
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Entity Type | Organization
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Legal Business Name | KATHERINE V PACE KVP CONCIERGE THERAPY
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Dates
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Enumeration Date | 01/30/2021
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 84 ELM ST STE E
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City | WESTFIELD
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State | NJ
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Zip | 07090-2181
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Country | US
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Telephone | 908-644-8213
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Fax |
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Provider Business Mailing Address
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Address Line | 84 ELM ST STE E
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City | WESTFIELD
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State | NJ
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Zip | 07090-2181
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Country | US
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Telephone | 908-644-8213
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Fax | 732-510-0716
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Authorized Official
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Title or Position | OWNER
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Name | KATHERINE PACE
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Credential | PT
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Telephone | 551-358-3341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | 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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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