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General NPI Number Information
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NPI Number | 1407917214
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Entity Type | Individual
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Provider Name | ELMER R PLATZ PT
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Gender | Male
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 01/15/2008
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Provider Practice Location Address
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Address Line | 418 STATE RT 515
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City | VERNON
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State | NJ
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Zip | 07462-3027
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Country | US
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Telephone | 973-764-6136
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Fax | 973-764-4515
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Provider Business Mailing Address
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Address Line | 418 STATE RT 515
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City | VERNON
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State | NJ
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Zip | 07462-3027
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Country | US
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Telephone | 973-764-6136
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Fax | 973-764-4515
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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 | 40QA00133700
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License Number State | NJ
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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 | 004018-1
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License Number State | NY
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