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General NPI Number Information
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NPI Number | 1417248683
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Entity Type | Organization
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Legal Business Name | MORELLI & SAN ANDRES LLC
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Dates
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Enumeration Date | 04/22/2011
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Last Update Date | 04/22/2011
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Provider Practice Location Address
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Address Line | 26 MUSKET DR
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City | KENDALL PARK
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State | NJ
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Zip | 08824-1836
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Country | US
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Telephone | 732-259-2602
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Fax |
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Provider Business Mailing Address
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Address Line | 26 MUSKET DR
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City | KENDALL PARK
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State | NJ
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Zip | 08824-1836
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Country | US
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Telephone | 732-259-2602
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JENNIFER A MORELLI
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Credential | PT, DPT
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Telephone | 732-259-2602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 0400410204
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License Number State | NJ
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