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General NPI Number Information
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NPI Number | 1689359275
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Entity Type | Individual
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Provider Name | JOSHUA WILLIAM SEWEKOW DPT
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Gender | Male
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 06/21/2023
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Provider Practice Location Address
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Address Line | 190 ELM ST
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City | WESTFIELD
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State | NJ
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Zip | 07090-3126
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Country | US
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Telephone | 908-232-0460
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Fax |
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Provider Business Mailing Address
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Address Line | 5 REGENT CT
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City | MEDFORD
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State | NJ
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Zip | 08055-9360
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Country | US
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Telephone | 609-500-8399
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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 | 40QA02180700
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License Number State | NJ
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