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NPI 1750472783

NPI 1750472783 : RICHARD ALAN FERRARO PT : MANASQUAN, NJ

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General NPI Number Information
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    NPI Number           |    1750472783
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD ALAN FERRARO PT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/27/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    233 E MAIN ST 
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    City                 |    MANASQUAN
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    State                |    NJ
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    Zip                  |    08736-3043
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    Country              |    US
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    Telephone            |    732-292-1910
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    42 KINGS WAY 
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    City                 |    FREEHOLD
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    State                |    NJ
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    Zip                  |    07728-2834
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    Country              |    US
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    Telephone            |    732-303-8444
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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       |    40QA00956100
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    License Number State |    NJ
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