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General NPI Number Information
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NPI Number | 1548952245
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Entity Type | Organization
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Legal Business Name | HOLLY BURNS DANCE PT LLC
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 123 PETTICOAT LN
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City | LEBANON
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State | NJ
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Zip | 08833-4109
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Country | US
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Telephone | 908-301-6525
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Fax |
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Provider Business Mailing Address
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Address Line | 2320 HOLLOW VIEW DR
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City | EASTON
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State | PA
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Zip | 18040-7565
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Country | US
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Telephone | 908-763-1298
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Fax |
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Authorized Official
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Title or Position | OWNER AND PHYSICAL THERAPIST
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Name | DR. HOLLY BURNS
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Credential | PT, DPT
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Telephone | 908-763-1298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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