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NPI 1043635121

NPI 1043635121 : CHIRO AT STIRLING LLC : STIRLING, NJ

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General NPI Number Information
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    NPI Number           |    1043635121
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHIRO AT STIRLING LLC 
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Dates
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    Enumeration Date     |    02/26/2014
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    Last Update Date     |    02/26/2014
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Provider Practice Location Address
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    Address Line         |    1272 LONG HILL RD 
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    City                 |    STIRLING
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    State                |    NJ
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    Zip                  |    07980-1010
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    Country              |    US
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    Telephone            |    908-504-2700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 7240 
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    City                 |    JUPITER
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    State                |    FL
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    Zip                  |    33468-7240
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    Country              |    US
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    Telephone            |    561-748-2889
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    Fax                  |    561-748-1523
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Authorized Official
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    Title or Position    |    PRESIDENT, JUPITER PROFESSIONAL DEV
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    Name                 |     KAREN  BARLOW 
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    Credential           |    
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    Telephone            |    561-748-2889
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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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