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General NPI Number Information
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NPI Number | 1629130794
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Entity Type | Individual
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Provider Name | ALEX SEKIRIN MPT, ACSM-CEP
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Gender | Male
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 1000 ROUTE 9 NORTH SUITE 202
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City | WOODBRIDGE
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State | NJ
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Zip | 07095
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Country | US
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Telephone | 732-750-4900
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Fax | 732-750-4902
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Provider Business Mailing Address
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Address Line | 7 PALOMINO DR
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-3622
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Country | US
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Telephone | 917-848-3858
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Fax | 732-750-4902
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 40QA01274300
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License Number State | NJ
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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 | 40QA01274300
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License Number State | NJ
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