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General NPI Number Information
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NPI Number | 1154285328
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Entity Type | Organization
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Legal Business Name | MANSOUR MEDICAL
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 32 LONGVIEW DR
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City | COLTS NECK
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State | NJ
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Zip | 07722-1189
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Country | US
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Telephone | 732-241-4074
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Fax |
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Provider Business Mailing Address
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Address Line | 32 LONGVIEW DR
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City | COLTS NECK
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State | NJ
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Zip | 07722-1189
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Country | US
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Telephone | 732-241-4074
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LORI SKALITZA
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Credential |
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Telephone | 908-675-1590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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