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NPI 1215979026

NPI 1215979026 : MATTHEW KREIGER DC : HOLMDEL, NJ

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General NPI Number Information
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    NPI Number           |    1215979026
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    Entity Type          |    Individual 
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    Provider Name        |    MATTHEW KREIGER DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/13/2006
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    Last Update Date     |    09/29/2011
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Provider Practice Location Address
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    Address Line         |    2145 HIGHWAY 35 KOHLS PLAZA
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    City                 |    HOLMDEL
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    State                |    NJ
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    Zip                  |    07733-1164
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    Country              |    US
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    Telephone            |    732-615-7402
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    Fax                  |    732-640-5326
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Provider Business Mailing Address
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    Address Line         |    15 WEST ASPEN WAY 
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    City                 |    ABERDEEN
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    State                |    NJ
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    Zip                  |    07747
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    Country              |    US
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    Telephone            |    732-615-7402
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    Fax                  |    732-640-5326
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    MC005788
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    License Number State |    NJ
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