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General NPI Number Information
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NPI Number | 1922343276
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Entity Type | Organization
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Legal Business Name | DB ORTHOPEDIC PHYSICAL THERAPY OF MANALAPAN, LLC
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Dates
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Enumeration Date | 11/27/2012
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 100 CRAIG RD STE 108
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City | MANALAPAN
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State | NJ
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Zip | 07726-8731
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Country | US
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Telephone | 732-747-1262
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CRAIG RD STE 108
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City | MANALAPAN
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State | NJ
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Zip | 07726-8731
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Country | US
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Telephone | 732-462-2162
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Fax | 732-462-2137
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID BERTONE
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Credential | PT
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Telephone | 732-747-1262
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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 | NJ40QA00442600
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License Number State | NJ
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