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NPI 1700090776

NPI 1700090776 : MRS. AMI K JOGLEKAR : BERLIN, NJ

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General NPI Number Information
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    NPI Number           |    1700090776
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    Entity Type          |    Individual 
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    Provider Name        |    MRS. AMI K JOGLEKAR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/09/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    100 LONG A COMING LN 
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    City                 |    BERLIN
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    State                |    NJ
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    Zip                  |    08009-1964
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    Country              |    US
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    Telephone            |    856-322-3612
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    52 GREENWICH DR 
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    City                 |    WESTAMPTON
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    State                |    NJ
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    Zip                  |    08060-3709
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    Country              |    US
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    Telephone            |    609-265-7734
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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        |    225XN1300X
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    Taxonomy Name        |    Neurorehabilitation Occupational Therapist
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    License Number       |    
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    License Number State |    NJ
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