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General NPI Number Information
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NPI Number | 1003162876
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Entity Type | Organization
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Legal Business Name | ACE CHIROPRACTIC PC
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 07/31/2012
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Provider Practice Location Address
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Address Line | 633 PROSPECT AVE
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City | RIDGEFIELD
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State | NJ
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Zip | 07657-1712
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Country | US
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Telephone | 201-313-0321
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Fax |
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Provider Business Mailing Address
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Address Line | 633 PROSPECT AVE
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City | RIDGEFIELD
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State | NJ
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Zip | 07657-1712
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. YONGKI COLIN RYU
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Credential |
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Telephone | 201-313-0321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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