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General NPI Number Information
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NPI Number | 1851274641
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Entity Type | Organization
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Legal Business Name | NEURO PRO WELLNESS LLC
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 136 NJ 10 UNIT 4
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City | EAST HANOVER
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State | NJ
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Zip | 07936
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Country | US
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Telephone | 914-297-8712
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Fax |
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Provider Business Mailing Address
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Address Line | 35 HUDSON ST APT 2407W
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City | JERSEY CITY
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State | NJ
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Zip | 07302-6621
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Country | US
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Telephone | 484-894-3142
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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. ALEXANDRA E MCGIVERN
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Credential | PT, DPT, NCS
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Telephone | 914-297-8712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine 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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