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General NPI Number Information
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NPI Number | 1447142500
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Entity Type | Organization
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Legal Business Name | STRETCH 4 ME, LLC
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | F3 BRIER HILL CT
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3337
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Country | US
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Telephone | 732-353-6410
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6790
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-6790
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Country | US
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Telephone | 848-248-9755
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. GEORGE IBRAHIM
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Credential | PT, DPT
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Telephone | 848-248-9755
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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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