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General NPI Number Information
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NPI Number | 1457099095
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Entity Type | Organization
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Legal Business Name | TRINITY REHAB SOMERSET PA
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Dates
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Enumeration Date | 05/24/2022
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 1396 CENTENNIAL AVE UNIT A-B
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City | PISCATAWAY
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State | NJ
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Zip | 08854-4318
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Country | US
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Telephone | 732-219-5700
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Fax | 732-334-3004
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Provider Business Mailing Address
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Address Line | 328 NEWMAN SPRINGS RD
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City | RED BANK
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State | NJ
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Zip | 07701-5654
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Country | US
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Telephone | 732-219-5700
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Fax | 732-334-3004
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Authorized Official
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Title or Position | AO
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Name | TONYA GAVRIELIDES
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Credential |
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Telephone | 732-219-5700
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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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