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General NPI Number Information
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NPI Number | 1699685404
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Entity Type | Organization
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Legal Business Name | MIKE EATS LLC
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 120 HALSTED ST APT 404
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City | EAST ORANGE
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State | NJ
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Zip | 07018-2797
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Country | US
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Telephone | 585-771-7775
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Fax |
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Provider Business Mailing Address
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Address Line | 120 HALSTED ST APT 404
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City | EAST ORANGE
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State | NJ
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Zip | 07018-2797
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Country | US
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Telephone | 585-771-7775
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | MR. MICHAEL ANTONIO FALLIGAN JR.
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Credential |
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Telephone | 585-771-7775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 132700000X
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Taxonomy Name | Dietary Manager
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License Number |
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License Number State |
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