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General NPI Number Information
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NPI Number | 1003961244
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Entity Type | Organization
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Legal Business Name | CHATHAM CHIROPRACTIC CENTER
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 417 MAIN ST
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City | CHATHAM
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State | NJ
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Zip | 07928-2105
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Country | US
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Telephone | 973-635-2290
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Fax | 973-635-8342
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Provider Business Mailing Address
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Address Line | 417 MAIN ST
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City | CHATHAM
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State | NJ
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Zip | 07928-2105
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Country | US
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Telephone | 973-635-2290
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Fax | 973-635-8342
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARTHA ALVARADO
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Credential |
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Telephone | 973-635-2290
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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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