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General NPI Number Information
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NPI Number | 1851231922
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Entity Type | Organization
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Legal Business Name | ACTIVE LIFE HOME THERAPYLLC
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 18A LINCOLN GDNS
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City | LAKE HIAWATHA
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State | NJ
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Zip | 07034-2406
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Country | US
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Telephone | 973-339-3606
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Fax |
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Provider Business Mailing Address
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Address Line | 18A LINCOLN GDNS
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City | LAKE HIAWATHA
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State | NJ
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Zip | 07034-2406
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Country | US
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Telephone | 973-339-3606
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SUGNESH PATEL
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Credential |
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Telephone | 614-619-9900
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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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Taxonomy #2
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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