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General NPI Number Information
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NPI Number | 1972726594
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Entity Type | Organization
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Legal Business Name | ASPEN PHYSICAL THERAPY CENTERS, LLP
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 09/27/2010
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Provider Practice Location Address
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Address Line | 601 N MAIN ST
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City | GLASSBORO
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State | NJ
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Zip | 08028-1637
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Country | US
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Telephone | 856-881-5800
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Fax | 856-881-3511
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Provider Business Mailing Address
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Address Line | PO BOX 179
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City | PITMAN
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State | NJ
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Zip | 08071-0179
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Country | US
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Telephone | 856-881-5800
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Fax | 856-881-3511
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. LEONARD A KRAUS
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Credential |
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Telephone | 856-881-5800
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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 |
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License Number State |
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