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General NPI Number Information
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NPI Number | 1578351599
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Entity Type | Organization
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Legal Business Name | LYMPHEDEMA THERAPY CENTER OF NEW JERSEY
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 842 BROADWAY STE 2
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City | WEST LONG BRANCH
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State | NJ
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Zip | 07764-1503
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Country | US
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Telephone | 908-433-2110
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Fax | 888-481-1478
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Provider Business Mailing Address
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Address Line | 842 BROADWAY STE 2
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City | WEST LONG BRANCH
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State | NJ
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Zip | 07764-1503
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Country | US
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Telephone | 908-433-2110
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Fax | 888-481-1478
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Authorized Official
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Title or Position | OWNER AND PRIMARY PT
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Name | ALEXANDRA SAHNI
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Credential | PT
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Telephone | 908-433-2110
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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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