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General NPI Number Information
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NPI Number | 1386881977
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Entity Type | Organization
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Legal Business Name | DMC ATHLETIC AND REHABILITATION, PC
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Dates
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Enumeration Date | 01/19/2009
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Last Update Date | 01/19/2009
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Provider Practice Location Address
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Address Line | 58B SOUTH ST
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City | MORRISTOWN
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State | NJ
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Zip | 07960-9520
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Country | US
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Telephone | 973-984-0200
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Fax | 973-984-0210
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Provider Business Mailing Address
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Address Line | 58B SOUTH ST
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City | MORRISTOWN
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State | NJ
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Zip | 07960-9520
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Country | US
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Telephone | 973-984-0200
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Fax | 973-984-0210
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID CUNIC
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Credential | D.P.T
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Telephone | 973-984-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA01075000
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License Number State | NJ
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