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General NPI Number Information
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NPI Number | 1194689448
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Entity Type | Organization
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Legal Business Name | JOHN AKHNOUKH MD NJ PC
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 12 RANDOLPH RD CENTER DRIVE
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City | PLAINFIELD
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State | NJ
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Zip | 07060
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Country | US
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Telephone | 516-369-9910
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Fax | 212-937-2140
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Provider Business Mailing Address
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Address Line | 12 CENTER DRIVE
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City | ROSLYN
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State | NY
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Zip | 11576
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Country | US
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Telephone | 516-369-9910
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Fax | 212-937-2140
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Authorized Official
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Title or Position | OWNER
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Name | JOHN AKHNOUKH
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Credential | M.D.
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Telephone | 516-369-9910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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