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General NPI Number Information
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NPI Number | 1841537719
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC SHOULDER TO HAND CARE, LLC
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Dates
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Enumeration Date | 01/11/2013
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Last Update Date | 01/11/2013
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Provider Practice Location Address
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Address Line | 2300 NEW RD STE 101A
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City | NORTHFIELD
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State | NJ
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Zip | 08225-1457
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Country | US
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Telephone | 609-289-5747
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Fax |
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Provider Business Mailing Address
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Address Line | 25 BUCKNELL RD
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City | SOMERS POINT
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State | NJ
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Zip | 08244-1337
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Country | US
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Telephone | 609-289-5747
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIANNE MARKARIAN
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Credential | OTR/L CHT
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Telephone | 609-289-5747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 46TR00178400
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License Number State | NJ
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