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General NPI Number Information
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NPI Number | 1336211390
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Entity Type | Organization
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Legal Business Name | PRINCETON REGIONAL PHYSICAL THERAPY
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 330 N HARRISON ST SUITE 2
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City | PRINCETON
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State | NJ
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Zip | 08540-3524
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Country | US
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Telephone | 609-924-0697
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Fax |
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Provider Business Mailing Address
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Address Line | 330 NORTH HARRISON STREET SUITE 2
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City | PRINCETON
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State | NJ
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Zip | 08540-3524
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Country | US
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Telephone | 609-924-0697
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LOEN N. AACOSTA
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Credential | MD
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Telephone | 609-924-0697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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