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General NPI Number Information
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NPI Number | 1780903880
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Entity Type | Organization
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Legal Business Name | NEURAC INSTITUTE FOR PHYSICAL THERAPY, P.A.
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Dates
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Enumeration Date | 05/28/2010
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Last Update Date | 05/28/2010
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Provider Practice Location Address
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Address Line | 800 BUNN DR SUITE 102
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City | PRINCETON
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State | NJ
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Zip | 08540-1968
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Country | US
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Telephone | 609-466-9004
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Fax | 609-466-9074
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Provider Business Mailing Address
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Address Line | 83 PRINCETON AVE SUITE 3B
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City | HOPEWELL
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State | NJ
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Zip | 08525-2020
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Country | US
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Telephone | 609-466-9004
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Fax | 609-466-9074
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Authorized Official
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Title or Position | OWNER
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Name | IAN KORNBLUTH
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Credential | P.T.
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Telephone | 609-466-9004
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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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