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General NPI Number Information
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NPI Number | 1346315363
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Entity Type | Organization
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Legal Business Name | PAT DUNPHY PT LLC
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 12/15/2015
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Provider Practice Location Address
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Address Line | 12 TINDALL RD
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-2722
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Country | US
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Telephone | 732-615-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 12 TINDALL ROAD
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-2722
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Country | US
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Telephone | 732-615-0300
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHYSICAL THERAPY
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Name | DR. PATRICIA MCGREGOR DUNPHY
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Credential | DPT
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Telephone | 732-615-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 40QA00906
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License Number State | NJ
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