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General NPI Number Information
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NPI Number | 1528480266
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Entity Type | Organization
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Legal Business Name | PHYSICAL MEDICINE & REHAB LLC
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 01/15/2014
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Provider Practice Location Address
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Address Line | 103 PROFESSIONAL VIEW DR
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City | FREEHOLD
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State | NJ
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Zip | 07728-7902
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Country | US
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Telephone | 732-780-2273
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Fax | 732-780-3752
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Provider Business Mailing Address
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Address Line | 103 PROFESSIONAL VIEW DR
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City | FREEHOLD
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State | NJ
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Zip | 07728-7902
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Country | US
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Telephone | 732-780-2273
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Fax | 732-780-3752
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. DAVID HOROWITZ
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Credential | DC
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Telephone | 732-780-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 25MZ00059300
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License Number State | NJ
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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 | 40QA01422300
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00556200
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License Number State | NJ
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