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General NPI Number Information
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NPI Number | 1750175675
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Entity Type | Individual
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Provider Name | KENSY JEAN DC,MSACN
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Gender | Male
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 494 PROSPECT AVE # 4112
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City | WEST ORANGE
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State | NJ
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Zip | 07052-4112
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Country | US
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Telephone | 973-736-9797
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Fax |
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Provider Business Mailing Address
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Address Line | 103 ROLLINSON ST
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City | WEST ORANGE
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State | NJ
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Zip | 07052-4520
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Country | US
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Telephone | 973-393-1249
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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 | 38MC00812400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 38MC00812400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 38MC00812400
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 38MC00812400
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License Number State | NJ
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