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General NPI Number Information
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NPI Number | 1811290042
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Entity Type | Organization
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Legal Business Name | NORTH JERSEY PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 121 RIDGE DR
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City | MONTVILLE
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State | NJ
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Zip | 07045-9488
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Country | US
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Telephone | 973-809-1035
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Fax | 973-838-2349
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Provider Business Mailing Address
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Address Line | 121 RIDGE DR
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City | MONTVILLE
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State | NJ
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Zip | 07045-9488
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Country | US
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Telephone | 973-809-1035
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Fax | 973-838-2349
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Authorized Official
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Title or Position | PRESIDENT
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Name | KENNETH WILLIAM HINZ
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Credential | P.T.
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Telephone | 973-838-6122
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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 | 40QA00695400
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License Number State | NJ
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