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General NPI Number Information
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NPI Number | 1750327326
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Entity Type | Individual
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Provider Name | SAMUEL DAVID SCHENKER MD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 285 PARKER RD
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City | EATONTOWN
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State | NJ
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Zip | 07724-9621
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Country | US
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Telephone | 732-814-3745
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Fax |
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Provider Business Mailing Address
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Address Line | 285 PARKER RD
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City | EATONTOWN
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State | NJ
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Zip | 07724-9621
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Country | US
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Telephone | 732-814-3745
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 25MA04118800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 25MA04118800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA41188
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | 25MA04118800
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License Number State | NJ
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