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General NPI Number Information
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NPI Number | 1578604823
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Entity Type | Individual
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Provider Name | JERRY RAYMOND SZYCH N.P., D.C., R.N.
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Gender | Male
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 1800 HIGHWAY 33 STE 105
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City | TRENTON
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State | NJ
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Zip | 08690-1755
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Country | US
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Telephone | 609-981-7444
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Fax | 609-981-7046
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Provider Business Mailing Address
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Address Line | 399 CAMPUS DR
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City | SOMERSET
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State | NJ
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Zip | 08873-1168
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Country | US
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Telephone | 908-252-0242
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Fax | 908-252-0243
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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 | 38MC00411000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ14902300
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 350690
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License Number State | NY
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