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General NPI Number Information
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NPI Number | 1962596064
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Entity Type | Individual
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Provider Name | CHERYL ANN MARCHIARULLO DPT
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 05/13/2010
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Provider Practice Location Address
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Address Line | 590 UNION BLVD
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City | TOTOWA
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State | NJ
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Zip | 07512-2443
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Country | US
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Telephone | 973-237-1975
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Fax | 973-237-1977
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Provider Business Mailing Address
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Address Line | 590 UNION BLVD
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City | TOTOWA
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State | NJ
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Zip | 07512-2443
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Country | US
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Telephone | 973-237-1975
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Fax | 973-237-1977
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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 | 2305204829
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA01327100
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License Number State | NJ
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