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General NPI Number Information
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NPI Number | 1346437084
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Entity Type | Organization
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Legal Business Name | ADVANTAGE ORTHOPAEDIC PHYSICAL THERAPY PA
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 12/31/2012
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Provider Practice Location Address
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Address Line | 1 STATE ROUTE 12 PLAZA ONE
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City | FLEMINGTON
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State | NJ
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Zip | 08822-7703
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Country | US
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Telephone | 908-284-2444
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Fax | 908-284-2442
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Provider Business Mailing Address
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Address Line | 1 STATE ROUTE 12 PLAZA ONE
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City | FLEMINGTON
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State | NJ
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Zip | 08822-7703
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Country | US
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Telephone | 908-284-2444
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Fax | 908-284-2442
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. BARBARA HILL
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Credential |
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Telephone | 908-284-2444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 40QA00334900
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License Number State | NJ
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