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General NPI Number Information
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NPI Number | 1932697539
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Entity Type | Individual
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Provider Name | CODY BELLO PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 04/29/2018
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Last Update Date | 11/26/2021
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Provider Practice Location Address
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Address Line | 160 WHITE RD STE 104
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City | LITTLE SILVER
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State | NJ
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Zip | 07739-1167
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Country | US
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Telephone | 732-383-8295
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Fax |
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Provider Business Mailing Address
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Address Line | 50 PEACHSTONE RD
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City | HOWELL
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State | NJ
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Zip | 07731-2208
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Country | US
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Telephone | 732-900-1994
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Fax |
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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 | 40QA01785400
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License Number State | NJ
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