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General NPI Number Information
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NPI Number | 1306927967
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Entity Type | Individual
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Provider Name | MICHAEL JOSEPH MEHNERT M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 197 RIDGEDALE AVE STE 225
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City | CEDAR KNOLLS
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State | NJ
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Zip | 07927-2111
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Country | US
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Telephone | 862-260-4265
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Fax | 973-695-1645
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Provider Business Mailing Address
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Address Line | 90 MATAWAN RD STE 302
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City | MATAWAN
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State | NJ
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Zip | 07747-2653
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | MD433452
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 25MA07829400
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License Number State | NJ
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