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General NPI Number Information
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NPI Number | 1639215734
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Entity Type | Organization
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Legal Business Name | MARK A. NAJJAR
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 1354 STATE ROUTE 36
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City | HAZLET
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State | NJ
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Zip | 07730-1716
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Country | US
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Telephone | 732-264-2233
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Fax | 732-739-5538
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Provider Business Mailing Address
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Address Line | 1354 STATE ROUTE 36
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City | HAZLET
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State | NJ
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Zip | 07730-1716
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Country | US
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Telephone | 732-264-2233
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Fax | 732-739-5538
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARK A NAJJAR
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Credential | LDC
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Telephone | 732-264-2233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | MC03179
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License Number State | NJ
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