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General NPI Number Information
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NPI Number | 1437821394
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Entity Type | Organization
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Legal Business Name | PHYSIO ROOM, LLC
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 166 FAIRVIEW AVE STE F
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City | WESTWOOD
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State | NJ
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Zip | 07675-2279
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Country | US
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Telephone | 551-486-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 6 ZANONI ST
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City | WOODCLIFF LAKE
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State | NJ
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Zip | 07677-8037
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PANAYIOTIS GEORGE HIOS
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Credential | PT, DPT
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Telephone | 551-486-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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