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General NPI Number Information
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NPI Number | 1366093973
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Entity Type | Organization
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Legal Business Name | BERGENFIELD PHYSICAL THERAPY & REHAB CENTER LLC
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | 253 S WASHINGTON AVE STE 1A
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City | BERGENFIELD
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State | NJ
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Zip | 07621-3739
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Country | US
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Telephone | 201-338-4053
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Fax |
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Provider Business Mailing Address
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Address Line | 253 S WASHINGTON AVE STE 1A
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City | BERGENFIELD
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State | NJ
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Zip | 07621-3739
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Country | US
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Telephone | 201-338-4053
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHALIN B. PATEL
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Credential | DC
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Telephone | 516-708-3182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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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Taxonomy #3
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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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