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General NPI Number Information
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NPI Number | 1568063972
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Entity Type | Organization
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Legal Business Name | PT2U
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Dates
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Enumeration Date | 11/03/2020
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 18 MARIANNA PL
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City | EMERSON
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State | NJ
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Zip | 07630-1933
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Country | US
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Telephone | 201-561-3936
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Fax |
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Provider Business Mailing Address
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Address Line | 18 MARIANNA PL
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City | EMERSON
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State | NJ
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Zip | 07630-1933
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Country | US
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Telephone | 201-561-3936
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AUBREY CANECCHIA
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Credential | MPT
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Telephone | 201-561-3963
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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 |
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License Number State |
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