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General NPI Number Information
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NPI Number | 1417352832
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Entity Type | Organization
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Legal Business Name | SZYMCZAK REHABILITATION LLC
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Dates
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Enumeration Date | 10/28/2014
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Last Update Date | 12/11/2020
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Provider Practice Location Address
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Address Line | 9 SUMMIT AVE
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City | ELMWOOD PARK
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State | NJ
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Zip | 07407-1529
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Country | US
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Telephone | 201-773-9700
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Fax | 201-773-9701
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Provider Business Mailing Address
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Address Line | 9 SUMMIT AVE
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City | ELMWOOD PARK
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State | NJ
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Zip | 07407-1529
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Country | US
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Telephone | 973-420-8836
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Fax | 201-773-9701
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MARK SZYMCZAK
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Credential | PT
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Telephone | 973-420-8836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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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 |
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License Number State |
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