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General NPI Number Information
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NPI Number | 1902355407
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Entity Type | Organization
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Legal Business Name | GLOBAL PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 09/25/2016
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Last Update Date | 09/25/2016
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Provider Practice Location Address
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Address Line | 639 CHASE AVE
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City | LYNDHURST
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State | NJ
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Zip | 07071-3152
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Country | US
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Telephone | 201-966-6619
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Fax |
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Provider Business Mailing Address
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Address Line | 639 CHASE AVE
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City | LYNDHURST
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State | NJ
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Zip | 07071-3152
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BEATA NOWAK
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Credential | PT,DPT
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Telephone | 201-966-6619
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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 | 40QA00941300
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License Number State | NJ
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