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General NPI Number Information
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NPI Number | 1730758988
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Entity Type | Organization
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Legal Business Name | CAREMAX FOR PHYSICAL THERAPY AND REHABILITATION SERVICES LLC
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Dates
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Enumeration Date | 06/22/2021
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Last Update Date | 06/22/2021
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Provider Practice Location Address
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Address Line | 317 AVENUE C
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City | BAYONNE
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State | NJ
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Zip | 07002-1400
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Country | US
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Telephone | 201-932-5820
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Fax | 201-455-2365
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Provider Business Mailing Address
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Address Line | 317 AVENUE C
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City | BAYONNE
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State | NJ
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Zip | 07002-1400
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Country | US
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Telephone | 201-932-5820
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Fax | 201-455-2365
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MAGDOLIN SHENOUDA
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Credential | PT, DPT, PH.D.
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Telephone | 201-380-6385
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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 |
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License Number State |
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