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NPI 1366923088

NPI 1366923088 : MICHELE MENDS-KIGER LLC : RAHWAY, NJ

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General NPI Number Information
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    NPI Number           |    1366923088
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    Entity Type          |    Organization 
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    Legal Business Name  |    MICHELE MENDS-KIGER LLC 
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Dates
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    Enumeration Date     |    08/22/2018
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    Last Update Date     |    08/22/2018
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Provider Practice Location Address
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    Address Line         |    1574 LAMBERT ST 
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    City                 |    RAHWAY
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    State                |    NJ
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    Zip                  |    07065-2038
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    Country              |    US
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    Telephone            |    732-713-3424
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1574 LAMBERT ST 
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    City                 |    RAHWAY
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    State                |    NJ
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    Zip                  |    07065-2038
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    Country              |    US
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    Telephone            |    732-713-3424
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER / DOCTOR
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    Name                 |    DR. MICHELE MARIA MENDES-KIGER 
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    Credential           |    DC
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    Telephone            |    732-713-3424
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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       |    38MC00680100
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    License Number State |    NJ
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