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General NPI Number Information
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NPI Number | 1982388831
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Entity Type | Organization
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Legal Business Name | CORE CARE PHYSICAL THERAPY
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 255 W SPRING VALLEY AVE STE 109
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City | MAYWOOD
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State | NJ
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Zip | 07607-1444
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Country | US
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Telephone | 201-300-9897
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Fax | 201-880-7410
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Provider Business Mailing Address
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Address Line | 255 W SPRING VALLEY AVE STE 109
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City | MAYWOOD
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State | NJ
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Zip | 07607-1444
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Country | US
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Telephone | 201-300-9897
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Fax | 201-880-7410
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Authorized Official
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Title or Position | CEO
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Name | AHMED ABOELSAAD
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Credential |
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Telephone | 201-300-9897
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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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