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General NPI Number Information
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NPI Number | 1770620676
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Entity Type | Organization
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Legal Business Name | MARK A. MAJESKI
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 618 MAIN ST
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City | TOMS RIVER
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State | NJ
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Zip | 08753-7456
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Country | US
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Telephone | 732-349-0114
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Fax |
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Provider Business Mailing Address
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Address Line | 618 MAIN ST
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City | TOMS RIVER
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State | NJ
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Zip | 08753-7456
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Country | US
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Telephone | 732-349-0114
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARK A MAJESKI
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Credential | DPM
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Telephone | 732-349-0114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | MD001939
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License Number State | NJ
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