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General NPI Number Information
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NPI Number | 1598627119
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Entity Type | Individual
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Provider Name | SHERLINE NONE OLUCHINA DPT
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Gender | Female
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 243 HURFFVILLE CROSSKEYS RD
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City | SEWELL
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State | NJ
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Zip | 08080-4011
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Country | US
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Telephone | 800-321-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 520 SUPERIOR RD
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City | EGG HARBOR TOWNSHIP
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State | NJ
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Zip | 08234-4939
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Country | US
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Telephone | 609-317-6993
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA02382300
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License Number State | NJ
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