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General NPI Number Information
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NPI Number | 1497428502
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Entity Type | Individual
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Provider Name | JENNA D'ELIO DPT
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Gender | Female
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Dates
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Enumeration Date | 07/26/2021
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Last Update Date | 07/26/2021
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Provider Practice Location Address
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Address Line | 1060 MAIN ST
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City | RIVER EDGE
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State | NJ
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Zip | 07661-2591
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Country | US
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Telephone | 201-833-0234
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Fax |
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Provider Business Mailing Address
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Address Line | 32 SHADOWY LN
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City | WEST MILFORD
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State | NJ
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Zip | 07480-1431
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Country | US
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Telephone | 973-907-6201
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 40QA01682200
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License Number State | NJ
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