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General NPI Number Information
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NPI Number | 1619834462
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Entity Type | Organization
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Legal Business Name | NESHAMA LABS LLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1709 STATE ROUTE 34
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City | WALL TOWNSHIP
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State | NJ
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Zip | 07727-4035
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Country | US
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Telephone | 917-696-5967
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Fax |
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Provider Business Mailing Address
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Address Line | 1709 STATE ROUTE 34
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City | WALL TOWNSHIP
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State | NJ
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Zip | 07727-4035
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Country | US
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Telephone | 917-696-5967
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | LOUIS JEROME HABER
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Credential |
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Telephone | 917-696-5967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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