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General NPI Number Information
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NPI Number | 1457249054
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Entity Type | Organization
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Legal Business Name | GRECO PHYSICAL THERAPY AND WELLNESS INC
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 355 BLOOMFIELD AVE
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City | CALDWELL
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State | NJ
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Zip | 07006-5118
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Country | US
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Telephone | 973-228-0072
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Fax | 973-228-2311
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Provider Business Mailing Address
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Address Line | PO BOX 427
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City | CALDWELL
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State | NJ
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Zip | 07006-0427
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Country | US
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Telephone | 973-228-0072
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Fax | 973-228-2311
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Authorized Official
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Title or Position | CEO
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Name | PAVLOS ARVANITOPOULOS
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Credential |
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Telephone | 973-228-0072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #3
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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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