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General NPI Number Information
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NPI Number | 1619338076
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Entity Type | Individual
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Provider Name | PRIYA MATHEWS DPT
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Gender | Female
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Dates
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Enumeration Date | 03/14/2016
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Last Update Date | 03/14/2016
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Provider Practice Location Address
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Address Line | 55 HUDSON AVE
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City | TENAFLY
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State | NJ
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Zip | 07670-1027
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Country | US
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Telephone | 201-510-4800
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Fax | 610-335-4326
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Provider Business Mailing Address
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Address Line | 55 HUDSON AVE
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City | TENAFLY
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State | NJ
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Zip | 07670-1027
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Country | US
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Telephone | 201-510-4800
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Fax | 610-335-4326
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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 | 036716
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA01523300
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License Number State | NJ
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