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General NPI Number Information
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NPI Number | 1154745123
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Entity Type | Organization
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Legal Business Name | MAXIMUM HEALTH & WELLNESS KENILWORTH LLC
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Dates
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Enumeration Date | 02/12/2014
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 505 N MICHIGAN AVE
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City | KENILWORTH
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State | NJ
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Zip | 07033-1076
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Country | US
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Telephone | 973-585-7315
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Fax |
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Provider Business Mailing Address
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Address Line | 505 N MICHIGAN AVE
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City | KENILWORTH
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State | NJ
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Zip | 07033-1076
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Country | US
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Telephone | 973-585-7315
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Fax |
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Authorized Official
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Title or Position | OFFICE REP
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Name | MRS. LAUREN KUCHNO
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Credential |
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Telephone | 833-789-3227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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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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