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General NPI Number Information
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NPI Number | 1700017811
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Entity Type | Organization
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Legal Business Name | BODY IN MOTION SPORTS & ORTHOPAEDICS INC
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 1000 W MAIN ST STE 5
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City | FREEHOLD
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State | NJ
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Zip | 07728-2521
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Country | US
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Telephone | 732-780-1122
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Fax | 732-780-1050
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Provider Business Mailing Address
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Address Line | 437 LAKEHURST RD
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City | TOMS RIVER
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State | NJ
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Zip | 08755-7378
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Country | US
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Telephone | 732-244-8700
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Fax | 732-244-8569
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Authorized Official
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Title or Position | CREDENTIALING TEAM
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Name | TAMARA SABATINO
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Credential |
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Telephone | 732-244-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 45PR00000700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 450R00005400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 450R00002200
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 450R00005400
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 450R00005400
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License Number State | NJ
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