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NPI 1891886933

NPI 1891886933 : MICHAEL NEKORANIK DO PC : PHILLIPSBURG, NJ

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General NPI Number Information
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    NPI Number           |    1891886933
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    Entity Type          |    Organization 
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    Legal Business Name  |    MICHAEL NEKORANIK DO PC 
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Dates
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    Enumeration Date     |    09/27/2006
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    Last Update Date     |    04/23/2008
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Provider Practice Location Address
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    Address Line         |    224-228 ROSEBERRY ST SUITE 5
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    City                 |    PHILLIPSBURG
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    State                |    NJ
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    Zip                  |    08865-1687
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    Country              |    US
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    Telephone            |    908-213-3433
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    Fax                  |    908-213-3647
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Provider Business Mailing Address
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    Address Line         |    224-228 ROSEBERRY ST SUITE 5
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    City                 |    PHILLIPSBURG
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    State                |    NJ
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    Zip                  |    08865-1687
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    Country              |    US
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    Telephone            |    908-213-3433
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    Fax                  |    908-213-3647
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MICHAEL G NEKORANIK 
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    Credential           |    DO
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    Telephone            |    908-213-3433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    
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    License Number State |    
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