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General NPI Number Information
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NPI Number | 1821576075
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Entity Type | Organization
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Legal Business Name | SUMA PHYSICAL THERAPY
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Dates
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Enumeration Date | 07/31/2018
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Last Update Date | 07/31/2018
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Provider Practice Location Address
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Address Line | 25 KILMER DR STE 215
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1561
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Country | US
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Telephone | 570-994-5850
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Fax |
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Provider Business Mailing Address
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Address Line | 60 STAGHORN DR
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City | MATAWAN
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State | NJ
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Zip | 07747-9675
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPY
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Name | MS. DARILYN MANINGAS
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Credential |
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Telephone | 570-994-5850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 40QA01537800
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License Number State | NJ
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