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General NPI Number Information
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NPI Number | 1013061852
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Entity Type | Organization
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Legal Business Name | HAROLD K. DOE, JR, D.C., PA
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 55 EAST CHURCH STREET
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City | BLACKWOOD
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State | NJ
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Zip | 08012
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Country | US
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Telephone | 856-227-5422
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Fax | 856-227-2952
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Provider Business Mailing Address
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Address Line | 55 EAST CHURCH STREET
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City | BLACKWOOD
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State | NJ
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Zip | 08012
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Country | US
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Telephone | 856-227-5422
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Fax | 856-227-2952
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. HAROLD KENNETH DOEJR
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Credential | D.C.
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Telephone | 856-227-5422
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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 | 38MC00124900
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License Number State | NJ
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