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General NPI Number Information
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NPI Number | 1407390024
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Entity Type | Individual
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Provider Name | JAMES MOR PT, DPT, ATC
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Gender | Male
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Dates
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Enumeration Date | 12/16/2016
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Last Update Date | 12/16/2016
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Provider Practice Location Address
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Address Line | 197 RIDGEDALE AVE
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City | CEDAR KNOLLS
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State | NJ
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Zip | 07927-2111
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Country | US
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Telephone | 973-605-5155
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Fax |
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Provider Business Mailing Address
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Address Line | 6 ECHO RIDGE RD
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City | AIRMONT
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State | NY
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Zip | 10952-4315
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Country | US
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Telephone | 917-349-3557
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 40QA01710700
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License Number State | NJ
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