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General NPI Number Information
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NPI Number | 1629283056
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Entity Type | Individual
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Provider Name | MARIA RODRIGUEZ VENTURA P.T.
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Gender | Female
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 E NEW YORK AVE
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2340
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Country | US
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Telephone | 609-653-3512
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Fax |
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Provider Business Mailing Address
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Address Line | 9 MEADOW CIRCLE
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City | MAYS LANDING
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State | NJ
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Zip | 08330
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Country | US
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Telephone | 609-641-6417
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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 | 40QA00780600
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License Number State | NJ
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