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General NPI Number Information
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NPI Number | 1528305455
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Entity Type | Individual
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Provider Name | ANNA CUSHING
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Gender | Female
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Dates
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Enumeration Date | 01/11/2013
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Last Update Date | 12/04/2014
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Provider Practice Location Address
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Address Line | 94 OLD SHORT HILLS RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5672
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Country | US
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Telephone | 973-322-6367
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Fax |
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Provider Business Mailing Address
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Address Line | 94 OLD SHORT HILLS ROAD
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City | LIVINGSTON, NJ
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State | NJ
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Zip | 07039
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3764
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | QA01475700
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License Number State | NJ
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