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General NPI Number Information
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NPI Number | 1861170144
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Entity Type | Organization
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Legal Business Name | TOTAL CARE PHYSICAL THERAPY OF NJ
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Dates
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Enumeration Date | 07/07/2023
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 3 PIERCE ST
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City | SPARTA
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State | NJ
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Zip | 07871-2710
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Country | US
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Telephone | 973-534-4870
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Fax |
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Provider Business Mailing Address
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Address Line | 3 PIERCE ST
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City | SPARTA
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State | NJ
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Zip | 07871-2710
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Country | US
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Telephone | 973-534-4870
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | LANCE BAUMGARTNER
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Credential | PT, DPT, CERT. MDT
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Telephone | 973-534-4870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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