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General NPI Number Information
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NPI Number | 1700336906
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Entity Type | Individual
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Provider Name | SARA JANE MOFFEI PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 10/12/2016
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Last Update Date | 01/17/2018
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Provider Practice Location Address
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Address Line | 221 VICTORIA ST
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City | GLASSBORO
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State | NJ
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Zip | 08028-2278
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Country | US
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Telephone | 856-536-1475
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FEDERAL ST # 100
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City | CAMDEN
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State | NJ
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Zip | 08103-1088
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Country | US
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Telephone | 856-356-4924
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 40QA01687300
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License Number State | NJ
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