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General NPI Number Information
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NPI Number | 1760546121
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Entity Type | Individual
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Provider Name | DEBRA ELLEN KREEL PT
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Gender | Female
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 05/06/2021
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Provider Practice Location Address
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Address Line | 24 BOOKER STREET
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City | WESTWOOD
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State | NJ
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Zip | 07675-2619
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Country | US
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Telephone | 201-822-0100
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Fax | 201-822-0107
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Provider Business Mailing Address
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Address Line | 1377 MOTOR PKWY STE 307
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City | ISLANDIA
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State | NY
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Zip | 11749-5258
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Country | US
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Telephone | 631-580-5200
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA00374600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 010648-1
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License Number State | NY
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