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General NPI Number Information
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NPI Number | 1972650331
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Entity Type | Organization
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Legal Business Name | LENNOX PHYSICAL THERAPY ASSOC. PA
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 01/23/2008
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Provider Practice Location Address
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Address Line | 501 IRON BRIDGE RD SUITE 7
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City | FREEHOLD
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State | NJ
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Zip | 07728-5304
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Country | US
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Telephone | 732-780-4413
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Fax | 732-780-3388
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Provider Business Mailing Address
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Address Line | 501 IRON BRIDGE RD SUITE 7
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City | FREEHOLD
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State | NJ
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Zip | 07728-5304
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Country | US
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Telephone | 732-780-4413
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Fax | 732-780-3388
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. LINDA JOAN LENNOX
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Credential | P.T.
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Telephone | 732-780-4413
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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 | 40QA00189200
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License Number State | NJ
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