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General NPI Number Information
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NPI Number | 1730404799
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Entity Type | Organization
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Legal Business Name | CHESTER PHYSICAL THERAPY CENTER, PC
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Dates
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Enumeration Date | 04/02/2010
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 154 US ROUTE 206 SUITE 1C
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City | CHESTER
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State | NJ
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Zip | 07930
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Country | US
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Telephone | 908-879-8111
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Fax | 908-879-9940
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Provider Business Mailing Address
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Address Line | P.O. BOX 144
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City | CHESTER
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State | NJ
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Zip | 07930-0144
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Country | US
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Telephone | 908-879-8111
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Fax | 908-879-9940
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | MR. PATRICK LEONARD
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Credential | PT
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Telephone | 908-879-8111
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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 | QA00556500
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License Number State | NJ
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