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General NPI Number Information
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NPI Number | 1609885235
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY OF CLIFTON, P.A.
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 03/20/2008
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Provider Practice Location Address
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Address Line | 1011 CLIFTON AVE SUITE 5 2ND FLOOR
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City | CLIFTON
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State | NJ
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Zip | 07013-3518
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Country | US
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Telephone | 973-778-1134
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Fax | 973-614-1530
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Provider Business Mailing Address
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Address Line | 1011 CLIFTON AVE SUITE 5 2ND FLOOR
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City | CLIFTON
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State | NJ
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Zip | 07013-3518
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Country | US
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Telephone | 973-778-1134
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Fax | 973-614-1530
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Authorized Official
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Title or Position | OWNER EMPLOYER
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Name | ARLENE C GROSSE
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Credential | P.T.
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Telephone | 973-778-1134
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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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