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General NPI Number Information
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NPI Number | 1598925620
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Entity Type | Organization
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Legal Business Name | EXCELLENT PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 06/12/2008
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 95 SOMERVILLE RD
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City | BEDMINSTER
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State | NJ
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Zip | 07921-2638
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Country | US
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Telephone | 908-234-9668
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Fax | 908-234-1343
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Provider Business Mailing Address
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Address Line | 95 SOMERVILLE RD
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City | BEDMINSTER
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State | NJ
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Zip | 07921-2638
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Country | US
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Telephone | 908-234-9668
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Fax | 908-234-1343
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LOUIS F DIGIOVINE
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Credential | PHYSICAL THERAPIST
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Telephone | 908-234-9668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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