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NPI 1245709989

NPI 1245709989 : ADAM DOMBROWSKI ND : COLTS NECK, NJ

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General NPI Number Information
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    NPI Number           |    1245709989
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    Entity Type          |    Individual 
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    Provider Name        |    ADAM DOMBROWSKI ND
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/23/2018
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    Last Update Date     |    05/03/2023
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Provider Practice Location Address
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    Address Line         |    420 STATE HIGHWAY 34 
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    City                 |    COLTS NECK
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    State                |    NJ
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    Zip                  |    07746
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    Country              |    US
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    Telephone            |    503-703-8440
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 970073 
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    City                 |    COCONUT CREEK
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    State                |    FL
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    Zip                  |    33097-0073
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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    |    
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    25MZ00136800
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    175F00000X
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    Taxonomy Name        |    Naturopath
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    4457
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    License Number State |    FL
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