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General NPI Number Information
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NPI Number | 1700355880
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Entity Type | Organization
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Legal Business Name | NEW JERSEY HEALTH PERFORMANCE INSTITUTE LLC
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Dates
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Enumeration Date | 11/18/2018
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 317 RUES LN
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3755
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Country | US
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Telephone | 908-907-0746
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Fax |
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Provider Business Mailing Address
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Address Line | 21 FELLS DR
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City | MANALAPAN
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State | NJ
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Zip | 07726-4153
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Country | US
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Telephone | 908-907-0746
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JARED BORNSTEIN
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Credential | DC
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Telephone | 908-907-0746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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