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General NPI Number Information
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NPI Number | 1467052209
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Entity Type | Organization
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Legal Business Name | MAXIMUM HEALTH PHYSICAL THERAPY OF LONG VALLEY, PC
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Dates
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Enumeration Date | 10/30/2020
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 62 E MILL RD STE A2
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City | LONG VALLEY
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State | NJ
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Zip | 07853-3118
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Country | US
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Telephone | 908-867-0899
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Fax | 908-509-6207
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Provider Business Mailing Address
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Address Line | 6 VICTORIA DR
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City | FLANDERS
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State | NJ
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Zip | 07836-9634
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Country | US
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Telephone | 908-867-0899
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Fax | 908-509-6207
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Authorized Official
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Title or Position | VP
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Name | JENNIFER E REILLY
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Credential |
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Telephone | 973-527-3765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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