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General NPI Number Information
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NPI Number | 1851755896
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Entity Type | Organization
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Legal Business Name | ROM KIDS PEDIATRIC PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 04/06/2016
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Last Update Date | 07/27/2016
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Provider Practice Location Address
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Address Line | 83C DORSET LN
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831-6735
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Country | US
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Telephone | 732-343-0612
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Fax |
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Provider Business Mailing Address
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Address Line | 83C DORSET LN
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831-6735
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Country | US
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Telephone | 732-343-0612
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIA ALFIERIS
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Credential |
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Telephone | 732-343-0612
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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 | 40QA00342900
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License Number State | NJ
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