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General NPI Number Information
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NPI Number | 1780207100
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Entity Type | Organization
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Legal Business Name | BEYOND BALANCE & REHABILITATION LLC
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Dates
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Enumeration Date | 05/20/2020
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 777 S WHITE HORSE PIKE STE D3
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City | HAMMONTON
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State | NJ
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Zip | 08037-2029
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Country | US
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Telephone | 609-828-2602
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Fax |
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Provider Business Mailing Address
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Address Line | 777 S WHITE HORSE PIKE STE D3
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City | HAMMONTON
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State | NJ
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Zip | 08037-2029
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Country | US
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Telephone | 609-481-2760
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Fax | 609-481-2817
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW JOHN TRIBOLETTI
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Credential | DPT
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Telephone | 609-204-4621
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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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