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General NPI Number Information
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NPI Number | 1528715166
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Entity Type | Organization
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Legal Business Name | PRECISION MEDICAL MONITORING PC
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 55 MEADOWLANDS PKWY
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City | SECAUCUS
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State | NJ
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Zip | 07094-2977
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Country | US
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Telephone | 201-392-3503
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Fax |
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Provider Business Mailing Address
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Address Line | 55 MEADOWLANDS PKWY
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City | SECAUCUS
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State | NJ
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Zip | 07094-2977
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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 | PRESIDENT
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Name | NIZAR KIFAIEH
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Credential |
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Telephone | 201-741-0225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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