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General NPI Number Information
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NPI Number | 1649123969
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Entity Type | Individual
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Provider Name | SAREN NONOYAMA PT, DPT
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Gender |
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 10 SUMMER STREET
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City | LODI
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State | NJ
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Zip | 07644
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Country | US
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Telephone | 201-368-6260
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Fax |
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Provider Business Mailing Address
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Address Line | 22 GAUTIER AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07306-6612
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Country | US
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Telephone |
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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 | 40QA02401200
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License Number State | NJ
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