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General NPI Number Information
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NPI Number | 1386235109
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Entity Type | Organization
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Legal Business Name | COAST REHAB TOMS RIVER LLC
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Dates
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Enumeration Date | 02/03/2021
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 216 MAIN ST
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City | TOMS RIVER
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State | NJ
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Zip | 08753-7438
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Country | US
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Telephone | 732-592-2209
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Fax | 732-926-4349
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Provider Business Mailing Address
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Address Line | 516 GLENMERE AVE
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City | NEPTUNE
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State | NJ
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Zip | 07753-5611
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Country | US
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Telephone | 732-492-0729
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHERINE DELORENZO
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Credential | DPT
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Telephone | 732-592-2209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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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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