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General NPI Number Information
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NPI Number | 1942543202
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Entity Type | Individual
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Provider Name | JILL MCKAY PT
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Gender | Female
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Dates
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Enumeration Date | 04/04/2013
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 30 W MAPLE AVE
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City | MERCHANTVILLE
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State | NJ
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Zip | 08109-5104
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Country | US
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Telephone | 856-661-0200
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Fax | 856-661-0204
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Provider Business Mailing Address
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Address Line | 14 PARKE PLACE BLVD SUITE D
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City | SEWELL
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State | NJ
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Zip | 08080-2661
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Country | US
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Telephone | 856-256-8393
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Fax | 856-256-8390
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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 | 40QA00654200
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License Number State | NJ
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