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General NPI Number Information
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NPI Number | 1619501277
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Entity Type | Individual
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Provider Name | MAGDALENA WOZNIAK DPT
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Gender | Female
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Dates
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Enumeration Date | 02/23/2020
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Last Update Date | 06/01/2020
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Provider Practice Location Address
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Address Line | 1633 US HIGHWAY 22
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City | WATCHUNG
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State | NJ
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Zip | 07069-6588
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Country | US
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Telephone | 908-754-3663
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Fax | 908-754-3502
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Provider Business Mailing Address
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Address Line | 170 JUPITOR ST
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City | CLARK
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State | NJ
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Zip | 07066-3018
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Country | US
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Telephone | 732-850-8474
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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 | 40QA01924700
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License Number State | NJ
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