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General NPI Number Information
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NPI Number | 1982215893
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Entity Type | Organization
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Legal Business Name | HVA PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 32 W 26TH ST
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City | BAYONNE
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State | NJ
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Zip | 07002-5677
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Country | US
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Telephone | 973-437-0795
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Fax |
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Provider Business Mailing Address
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Address Line | 32 W 26TH ST
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City | BAYONNE
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State | NJ
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Zip | 07002-5677
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Country | US
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Telephone | 973-437-0795
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HOMER V ADALLA
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Credential |
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Telephone | 201-443-8462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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