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General NPI Number Information
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NPI Number | 1417661133
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Entity Type | Organization
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Legal Business Name | JANAK PT LLC
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Dates
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Enumeration Date | 01/09/2023
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 32 HINE ST STE 103
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City | PATERSON
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State | NJ
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Zip | 07503-2955
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Country | US
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Telephone | 973-358-5500
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Fax | 973-358-5501
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Provider Business Mailing Address
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Address Line | 614 MOLA BLVD
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City | ELMWOOD PARK
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State | NJ
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Zip | 07407-1343
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Country | US
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Telephone | 201-290-0416
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VIPUL PATEL
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Credential |
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Telephone | 201-290-0416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #3
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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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