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General NPI Number Information
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NPI Number | 1528902038
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Entity Type | Individual
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Provider Name | MIKAELA MARTIN DC
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Gender | Female
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 2621 BRIDGE AVE
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City | POINT PLEASANT BORO
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State | NJ
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Zip | 08742-4264
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Country | US
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Telephone | 732-295-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 50 HAWKS WAY UNIT 22301
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City | MANCHESTER
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State | NJ
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Zip | 08759-5073
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00819200
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License Number State | NJ
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