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General NPI Number Information
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NPI Number | 1881873966
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Entity Type | Individual
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Provider Name | EDUARDO MAURICIO TRUJILLO DPT
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Gender | Male
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Dates
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Enumeration Date | 10/25/2007
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 504 WASHINGTON AVE
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City | KENILWORTH
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State | NJ
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Zip | 07033-1200
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Country | US
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Telephone | 732-970-6990
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Fax | 732-719-2311
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Provider Business Mailing Address
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Address Line | 1340 STATE ROUTE 34 B
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City | ABERDEEN
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State | NJ
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Zip | 07747-1947
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Country | US
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Telephone | 732-444-4859
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Fax | 732-444-3122
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 40QA01259300
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License Number State | NJ
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