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General NPI Number Information
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NPI Number | 1508243981
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Entity Type | Organization
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Legal Business Name | PEDIATRIC THERAPY & YOGA OF MORRIS
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Dates
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Enumeration Date | 05/05/2015
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Last Update Date | 05/05/2015
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Provider Practice Location Address
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Address Line | 18 ELM ST
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City | MORRISTOWN
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State | NJ
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Zip | 07960-8100
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Country | US
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Telephone | 973-998-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 18 ELM ST
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City | MORRISTOWN
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State | NJ
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Zip | 07960-8100
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Country | US
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Telephone | 973-998-8700
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | DR. YANA KOFMAN
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Credential | PT
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Telephone | 973-998-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 40QA00795300
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 46TR00426800
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number | 46TR00144100
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License Number State | NJ
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