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General NPI Number Information
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NPI Number | 1770830895
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Entity Type | Organization
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Legal Business Name | AC PHYSICAL THERAPY SERVICES INC D/B/A MED REHAB THERAPY
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 2406 NEW RD
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City | NORTHFIELD
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State | NJ
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Zip | 08225-1409
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Country | US
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Telephone | 609-645-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 2406 NEW RD
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City | NORTHFIELD
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State | NJ
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Zip | 08225-1409
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Country | US
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Telephone | 609-645-2225
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ DIRECTOR
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Name | DR. LEE SHIZAD
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Credential | DPT
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Telephone | 609-645-2224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 46TR00259200
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License Number State | NJ
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