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General NPI Number Information
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NPI Number | 1154240901
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Entity Type | Organization
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Legal Business Name | PRIMAL INTEGRATIVE HEALTH LLC
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 494 PROSPECT AVE
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City | WEST ORANGE
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State | NJ
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Zip | 07052-4112
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Country | US
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Telephone | 973-736-9797
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Fax |
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Provider Business Mailing Address
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Address Line | 494 PROSPECT AVE
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City | WEST ORANGE
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State | NJ
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Zip | 07052-4112
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. KENSY JEAN
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Credential | DC, MSACN
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Telephone | 973-393-1249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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