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General NPI Number Information
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NPI Number | 1861581118
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Entity Type | Organization
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Legal Business Name | UNIVERSITY SPORTS PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 36 W WATER ST SUITE 2
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City | TOMS RIVER
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State | NJ
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Zip | 08753-7472
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Country | US
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Telephone | 732-244-5533
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Fax | 732-244-6766
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Provider Business Mailing Address
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Address Line | 36 W WATER ST SUITE 2
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City | TOMS RIVER
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State | NJ
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Zip | 08753-7472
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Country | US
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Telephone | 732-244-5533
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Fax | 732-244-6766
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | JOSEPH V NAPOLITANO
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Credential | PT
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Telephone | 732-244-5533
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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 | 40QA00373400
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License Number State | NJ
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