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General NPI Number Information
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NPI Number | 1487724183
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Entity Type | Individual
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Provider Name | ADONIS B BASSIL P.T.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 07/30/2020
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Provider Practice Location Address
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Address Line | 1900 STATE ROUTE 33 OMNI CENTER, FIRST FLOOR, SUITE 1A
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City | NEPTUNE
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State | NJ
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Zip | 07753-4800
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Country | US
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Telephone | 732-517-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 STATE RT 33 FIRST FLOOR SUITE 1A
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City | NEPTUNE
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State | NJ
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Zip | 07753-4800
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Country | US
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Telephone | 732-517-0700
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Fax | 732-517-0702
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 40QA00657600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 40QA00657600
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License Number State | NJ
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