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General NPI Number Information
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NPI Number | 1598520090
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Entity Type | Individual
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Provider Name | KRIS MICHELE TRIOLO PT, MBA
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Gender | Female
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Dates
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Enumeration Date | 02/14/2024
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 3201 W BRIGANTINE AVE
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City | BRIGANTINE
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State | NJ
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Zip | 08203-1609
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Country | US
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Telephone | 609-922-0868
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Fax |
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Provider Business Mailing Address
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Address Line | 210 10TH ST S
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City | BRIGANTINE
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State | NJ
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Zip | 08203-2316
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Country | US
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Telephone | 609-922-0868
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 40QA00422400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 40QA00422400
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License Number State | NJ
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