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General NPI Number Information
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NPI Number | 1053784785
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Entity Type | Organization
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Legal Business Name | NORTH JERSEY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 11/03/2015
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Last Update Date | 11/03/2015
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Provider Practice Location Address
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Address Line | 418 KEARNY AVE
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City | KEARNY
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State | NJ
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Zip | 07032-2604
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Country | US
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Telephone | 201-991-2400
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Fax | 201-998-2389
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Provider Business Mailing Address
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Address Line | 107 ARLINGTON BLVD
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City | NORTH ARLINGTON
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State | NJ
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Zip | 07031-5845
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Country | US
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Telephone | 973-953-8105
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Fax | 201-998-2389
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DR. JOSHUA DUFFY
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Credential | D.C.
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Telephone | 201-991-2400
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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 | 38MC00607700
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License Number State | NJ
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