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General NPI Number Information
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NPI Number | 1568249514
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Entity Type | Individual
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Provider Name | ANNA VAN SICKELL PT
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Gender | Female
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Dates
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Enumeration Date | 09/13/2023
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 30 SEMINARY AVE STE 3
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City | CHESTER
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State | NJ
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Zip | 07930-2778
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Country | US
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Telephone | 908-955-7616
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Fax | 908-955-7408
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Provider Business Mailing Address
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Address Line | 7 KIMBLE PL
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City | EAST HANOVER
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State | NJ
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Zip | 07936-1543
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Country | US
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Telephone | 973-747-9858
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Fax | 908-955-7408
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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 | 40QA02193000
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License Number State | NJ
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