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General NPI Number Information
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NPI Number | 1063793941
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Entity Type | Organization
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Legal Business Name | CARMEN JOHN OCCHIUZZI DC, L.L.C.
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Dates
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Enumeration Date | 09/06/2011
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Last Update Date | 09/06/2011
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Provider Practice Location Address
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Address Line | 909 BELMONT AVE
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City | NORTH HALEDON
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State | NJ
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Zip | 07508-2574
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Country | US
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Telephone | 974-423-3223
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Fax | 973-423-2199
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Provider Business Mailing Address
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Address Line | 909 BELMONT AVE
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City | NORTH HALEDON
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State | NJ
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Zip | 07508-2574
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Country | US
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Telephone | 974-423-3223
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Fax | 973-423-2199
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Authorized Official
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Title or Position | MEMBER
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Name | DR. CARMEN JOHN OCCHIUZZI
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Credential | DC
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Telephone | 973-423-3223
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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 | 38MC00155500
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License Number State | NJ
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