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General NPI Number Information
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NPI Number | 1881082360
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Entity Type | Organization
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Legal Business Name | CONNECT PHYSICAL THERAPY EAST, P.C.
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Dates
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Enumeration Date | 01/06/2015
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Last Update Date | 01/06/2015
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Provider Practice Location Address
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Address Line | 201 CANDLEWOOD CMNS
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City | HOWELL
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State | NJ
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Zip | 07731-2169
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Country | US
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Telephone | 917-407-7738
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Fax |
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Provider Business Mailing Address
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Address Line | 9 ELIZABETH LN
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City | COLUMBUS
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State | NJ
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Zip | 08022-2352
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Country | US
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Telephone | 917-407-7738
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIMOTHY SENE
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Credential | PT
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Telephone | 917-407-7738
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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 | 40QA01269400
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License Number State | NJ
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