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General NPI Number Information
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NPI Number | 1487452835
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Entity Type | Individual
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Provider Name | CAVAN JOSEPH BURKE PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 19 W PASSAIC ST
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City | ROCHELLE PARK
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State | NJ
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Zip | 07662-3222
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Country | US
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Telephone | 201-845-8002
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Fax | 201-845-8088
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Provider Business Mailing Address
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Address Line | 141 GEERING TER
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City | PARAMUS
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State | NJ
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Zip | 07652-4416
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Country | US
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Telephone | 201-621-1613
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Fax |
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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 | 40QA02322000
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License Number State | NJ
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