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General NPI Number Information
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NPI Number | 1881053197
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Entity Type | Organization
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Legal Business Name | AIRPORT PLAZA SPINE & WELLNESS LLC
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Dates
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Enumeration Date | 02/15/2016
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 1354 STATE ROUTE 36
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City | HAZLET
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State | NJ
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Zip | 07730-1716
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Country | US
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Telephone | 732-567-5477
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Fax |
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Provider Business Mailing Address
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Address Line | 1354 STATE ROUTE 36
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City | HAZLET
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State | NJ
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Zip | 07730-1716
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Country | US
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Telephone | 732-567-5477
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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. JASON M BROOKS
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Credential | D.C.
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Telephone | 732-567-5477
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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