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General NPI Number Information
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NPI Number | 1417756479
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Entity Type | Individual
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Provider Name | MATTHEW MELUSO PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 212 STATE RT 94
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City | VERNON
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State | NJ
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Zip | 07462-3328
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Country | US
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Telephone | 973-209-0086
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Fax |
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Provider Business Mailing Address
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Address Line | 36 DOGWOOD DR
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City | NEWTON
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State | NJ
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Zip | 07860-2523
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Country | US
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Telephone | 201-916-2289
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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 |
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License Number State |
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