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General NPI Number Information
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NPI Number | 1023220795
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Entity Type | Organization
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Legal Business Name | BLEND CHIROPRACTIC,LLC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 250 EYLAND AVE
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City | SUCCASUNNA
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State | NJ
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Zip | 07876-1134
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Country | US
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Telephone | 973-584-0100
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Fax | 973-927-1245
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Provider Business Mailing Address
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Address Line | 250 EYLAND AVE
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City | SUCCASUNNA
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State | NJ
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Zip | 07876-1134
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Country | US
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Telephone | 973-584-0100
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Fax | 973-927-1245
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. KAREN L. BLEND
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Credential | DC
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Telephone | 973-584-0100
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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 | 38MC00369100
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License Number State | NJ
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