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General NPI Number Information
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NPI Number | 1467950121
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Entity Type | Organization
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Legal Business Name | PHYS-MED LLC
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Dates
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Enumeration Date | 01/29/2018
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Last Update Date | 01/29/2018
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Provider Practice Location Address
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Address Line | 555 ROUTE 18
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3727
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Country | US
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Telephone | 201-501-8500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 518
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City | EATONTOWN
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State | NJ
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Zip | 07724-0518
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | HARRY CHAMBARRY
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Credential | DC
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Telephone | 201-501-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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