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General NPI Number Information
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NPI Number | 1407860877
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Entity Type | Individual
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Provider Name | PHILIP R ALBERT PT
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 784 CHIMNEY ROCK RD SUITE E
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City | MARTINSVILLE
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State | NJ
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Zip | 08836-2237
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Country | US
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Telephone | 732-302-1860
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Fax | 732-302-0881
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Provider Business Mailing Address
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Address Line | 2 OWENS DR
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City | WARREN
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State | NJ
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Zip | 07059-6716
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Country | US
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Telephone | 908-507-8580
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA00000600
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License Number State | NJ
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