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General NPI Number Information
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NPI Number | 1780353656
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Entity Type | Individual
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Provider Name | MIN JI KANG PT
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Gender | Female
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 400 W ROUTE 38
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City | MOORESTOWN
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State | NJ
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Zip | 08057-3219
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Country | US
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Telephone | 856-270-4002
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FEDERAL ST STE 200
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City | CAMDEN
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State | NJ
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Zip | 08103-1088
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Country | US
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Telephone | 848-288-6935
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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 | CP050007T
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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 | PT041412
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License Number State | PA
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