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General NPI Number Information
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NPI Number | 1598374050
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Entity Type | Individual
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Provider Name | BENITA STRICKLAND PTA
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Gender | Female
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 07/30/2020
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Provider Practice Location Address
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Address Line | 6000 JOHN F. KENNEDY BLVD
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City | WEST NEW YORK
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State | NJ
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Zip | 07093
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Country | US
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Telephone | 210-758-0099
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Fax |
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Provider Business Mailing Address
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Address Line | 626 PARAMUS RD
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City | PARAMUS
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State | NJ
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Zip | 07652-1732
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Country | US
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Telephone | 973-568-6703
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Fax |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 40QB00372600
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License Number State | NJ
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