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General NPI Number Information
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NPI Number | 1497451322
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Entity Type | Organization
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Legal Business Name | FMS PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 02/02/2023
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 555 SHREWSBURY AVE
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4178
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Country | US
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Telephone | 732-758-8200
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Fax | 732-758-8250
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Provider Business Mailing Address
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Address Line | 555 SHREWSBURY AVE
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4178
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Country | US
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Telephone | 732-758-8200
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Fax | 732-758-8250
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Authorized Official
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Title or Position | OWNER
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Name | MR. FREDERICK CALUYA
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Credential | PHYSICAL THERAPIST
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Telephone | 732-758-8200
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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 |
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License Number State |
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