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General NPI Number Information
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NPI Number | 1326825662
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Entity Type | Organization
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Legal Business Name | BENS TOTAL WELLNESS THERAPY LLC
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 33 APPLEMAN RD
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City | SOMERSET
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State | NJ
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Zip | 08873-1719
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Country | US
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Telephone | 732-853-4560
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Fax |
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Provider Business Mailing Address
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Address Line | 408 GREEN HILL MANOR DR
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City | FRANKLIN PARK
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State | NJ
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Zip | 08823-2622
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Country | US
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Telephone | 732-853-4560
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TUHAY JALLOH
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Credential | PT,DPT
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Telephone | 732-853-4560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 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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