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General NPI Number Information
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NPI Number | 1891164562
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Entity Type | Organization
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Legal Business Name | PROTOUCH PHYSICAL THERAPY GROUP LLC
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Dates
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Enumeration Date | 09/23/2015
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Last Update Date | 05/18/2023
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Provider Practice Location Address
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Address Line | 570 SOUTH AVE E STE C
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City | CRANFORD
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State | NJ
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Zip | 07016-3200
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Country | US
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Telephone | 973-207-9798
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Fax | 973-543-2054
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Provider Business Mailing Address
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Address Line | 570 SOUTH AVE E BUILDING G SUITE C
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City | CRANFORD
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State | NJ
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Zip | 07016-3200
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Country | US
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Telephone | 973-207-9798
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Fax | 973-543-2054
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT T GANDER
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Credential | PT
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Telephone | 908-325-6556
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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 |
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License Number State |
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