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NPI 1356949739

NPI 1356949739 : SHERYL MARKLEY PT LLC : LUMBERTON, NJ

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General NPI Number Information
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    NPI Number           |    1356949739
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    Entity Type          |    Organization 
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    Legal Business Name  |    SHERYL MARKLEY PT LLC 
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Dates
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    Enumeration Date     |    10/16/2020
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    Last Update Date     |    10/16/2020
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Provider Practice Location Address
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    Address Line         |    774 EAYRESTOWN RD 
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    City                 |    LUMBERTON
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    State                |    NJ
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    Zip                  |    08048
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    Country              |    US
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    Telephone            |    609-230-5748
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    Fax                  |    609-261-1638
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Provider Business Mailing Address
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    Address Line         |    13 W MILL CREEK RD 
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    City                 |    EASTAMPTON
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    State                |    NJ
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    Zip                  |    08060-5307
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    Country              |    US
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    Telephone            |    609-230-5748
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    Fax                  |    609-261-1638
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SHERYL  MARKLEY 
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    Credential           |    PT
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    Telephone            |    609-230-5748
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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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