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General NPI Number Information
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NPI Number | 1417710831
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Entity Type | Organization
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Legal Business Name | NORTH JERSEY INTEGRATED MEDICINE LLC
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Dates
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Enumeration Date | 01/31/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 1136 CLIFTON AVE # 1
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City | CLIFTON
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State | NJ
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Zip | 07013-3622
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Country | US
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Telephone | 908-415-9319
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 GRAND ST APT 422
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City | HOBOKEN
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State | NJ
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Zip | 07030-2284
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Country | US
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Telephone | 908-415-9319
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MICHAEL DOBROW
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Credential | DO
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Telephone | 908-415-9319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine 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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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