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General NPI Number Information
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NPI Number | 1700320231
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Entity Type | Organization
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Legal Business Name | THERAZONE PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 12/19/2016
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Last Update Date | 04/17/2017
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Provider Practice Location Address
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Address Line | 884 US HIGHWAY 22
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City | SOMERVILLE
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State | NJ
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Zip | 08876-1560
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Country | US
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Telephone | 908-864-4097
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Fax | 908-864-4110
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Provider Business Mailing Address
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Address Line | 884 US HIGHWAY 22
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City | SOMERVILLE
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State | NJ
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Zip | 08876-1560
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Country | US
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Telephone | 908-864-4097
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Fax | 908-864-4110
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Authorized Official
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Title or Position | DPT, OCS, CLT / OWNER
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Name | RAMA VARATKAR
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Credential | PT
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Telephone | 908-864-4097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 40QA01317900
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License Number State | NJ
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