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General NPI Number Information
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NPI Number | 1033356878
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Entity Type | Organization
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Legal Business Name | HARRISON CHIROPRACTIC & REHABILITATION
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Dates
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Enumeration Date | 01/15/2009
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Last Update Date | 01/15/2009
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Provider Practice Location Address
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Address Line | 481 MEMORIAL PKWY STE 2
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-1574
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Country | US
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Telephone | 908-454-5277
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Fax | 908-454-5377
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Provider Business Mailing Address
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Address Line | 481 MEMORIAL PKWY STE 2
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-1574
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Country | US
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Telephone | 908-454-5277
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Fax | 908-454-5377
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES JOSEPH HARRISON
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Credential | DC
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Telephone | 908-454-5277
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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 | 38MC00667200
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License Number State | NJ
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