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General NPI Number Information
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NPI Number | 1457548794
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Entity Type | Organization
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Legal Business Name | ALAN M. STERN
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 590 PARK AVE SUITE 2D
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City | FREEHOLD
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State | NJ
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Zip | 07728-2380
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Country | US
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Telephone | 732-577-8991
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Fax | 732-577-8992
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Provider Business Mailing Address
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Address Line | 590 PARK AVE SUITE 2D
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City | FREEHOLD
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State | NJ
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Zip | 07728-2380
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Country | US
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Telephone | 732-577-8991
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Fax | 732-577-8992
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | ALAN M STERN
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Credential | D.C.
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Telephone | 732-577-8991
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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 | MCO2989
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License Number State | NJ
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