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General NPI Number Information
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NPI Number | 1467525691
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Entity Type | Individual
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Provider Name | ANDREW S QUIRK PT
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Gender | Male
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 07/31/2013
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Provider Practice Location Address
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Address Line | 515 VALLEY ST SUITE 120
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-1388
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Country | US
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Telephone | 973-378-3314
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Fax | 973-378-3369
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Provider Business Mailing Address
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Address Line | 37 BURNETT TERRACE
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City | MAPLEWOOD
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State | NJ
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Zip | 07040
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Country | US
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Telephone | 973-378-8979
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Fax | 973-378-3369
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 40QA00321800
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License Number State | NJ
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