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General NPI Number Information
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NPI Number | 1497727358
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Entity Type | Organization
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Legal Business Name | REHABILITY PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 02/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 411 HACKENSACK ST
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City | CARLSTADT
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State | NJ
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Zip | 07072-1302
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Country | US
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Telephone | 201-804-7811
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Fax | 201-804-7833
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Provider Business Mailing Address
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Address Line | 411 HACKENSACK ST
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City | CARLSTADT
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State | NJ
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Zip | 07072-1302
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Country | US
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Telephone | 201-804-7811
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Fax | 201-804-7833
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. CHRISTOPHER HUGHES
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Credential | PT, MS
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Telephone | 201-804-7811
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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 | 40QA00861100
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License Number State | NJ
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