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General NPI Number Information
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NPI Number | 1427101740
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Entity Type | Individual
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Provider Name | ROBIN BLEEKER P.T. ,M.A.
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 685 RIVER AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5228
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Country | US
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Telephone | 732-364-3772
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Fax | 732-364-9064
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Provider Business Mailing Address
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Address Line | 337 DOWNS ST
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-2705
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Country | US
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Telephone | 201-652-4374
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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 | 40QA00288200
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License Number State | NJ
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