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General NPI Number Information
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NPI Number | 1619214004
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Entity Type | Organization
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Legal Business Name | AMBIENT REHABILITATION
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Dates
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Enumeration Date | 01/06/2013
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Last Update Date | 06/09/2014
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Provider Practice Location Address
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Address Line | 660 TENNENT RD SUITE 107
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City | MANALAPAN
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State | NJ
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Zip | 07726-3163
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Country | US
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Telephone | 732-617-6237
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Fax | 732-617-6239
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Provider Business Mailing Address
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Address Line | 660 TENNENT RD SUITE 107
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City | MANALAPAN
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State | NJ
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Zip | 07726-3163
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Country | US
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Telephone | 732-617-6237
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Fax | 732-617-6239
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. KAREN FLORENCE DELGADO
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Credential | PT DPT
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Telephone | 732-617-6237
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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 | 40QA00968600
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License Number State | NJ
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