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General NPI Number Information
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NPI Number | 1578989554
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Entity Type | Individual
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Provider Name | DR. FADI SARKIS
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Gender | Male
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Dates
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Enumeration Date | 03/13/2014
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Last Update Date | 09/14/2021
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Provider Practice Location Address
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Address Line | 716 BROAD ST SUITE 1E
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City | CLIFTON
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State | NJ
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Zip | 07013
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Country | US
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Telephone | 973-246-9355
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Fax | 973-246-9356
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Provider Business Mailing Address
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Address Line | 53 FOREST AVE
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City | WESTWOOD
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State | NJ
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Zip | 07675-3314
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Country | US
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Telephone | 973-246-9355
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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 | 38MC00715400
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License Number State | NJ
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