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General NPI Number Information
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NPI Number | 1962341586
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Entity Type | Individual
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Provider Name | JOHN OJEDA
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Gender | Male
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Dates
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Enumeration Date | 03/27/2026
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 218 BLOOMFIELD AVE
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City | BLOOMFIELD
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State | NJ
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Zip | 07003
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Country | US
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Telephone | 973-750-0880
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Fax |
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Provider Business Mailing Address
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Address Line | 68 BEECH ST
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City | EAST ORANGE
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State | NJ
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Zip | 07018-3005
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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 |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 40QB00421800
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License Number State | NJ
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