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General NPI Number Information
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NPI Number | 1043376304
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Entity Type | Organization
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Legal Business Name | SPINAL HEALTH CENTER L.L.C.
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 231 CROSSWICKS RD SUITE #1A
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City | BORDENTOWN
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State | NJ
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Zip | 08505-2602
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Country | US
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Telephone | 609-298-9820
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Fax | 609-298-9822
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Provider Business Mailing Address
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Address Line | 231 CROSSWICKS RD SUITE #1A
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City | BORDENTOWN
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State | NJ
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Zip | 08505-2602
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Country | US
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Telephone | 609-298-9820
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Fax | 609-298-9822
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS A PARKES
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Credential | D.C.
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Telephone | 609-298-9820
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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 | 38MC00517700
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License Number State | NJ
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