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General NPI Number Information
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NPI Number | 1366744609
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Entity Type | Organization
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Legal Business Name | DEFINE PHYSICAL THERAPY AND PERSONAL CARE INC
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Dates
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Enumeration Date | 11/18/2010
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Last Update Date | 11/18/2010
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Provider Practice Location Address
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Address Line | 51 GERARD AVE
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City | ABERDEEN
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State | NJ
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Zip | 07747-1060
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Country | US
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Telephone | 732-566-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 2 IVES PL
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City | MATAWAN
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State | NJ
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Zip | 07747-1728
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Country | US
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Telephone | 732-757-9998
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EROLINA MATTHEWS
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Credential |
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Telephone | 732-566-5800
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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 | 40QA00491800
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License Number State | NJ
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