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General NPI Number Information
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NPI Number | 1063841989
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Entity Type | Organization
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Legal Business Name | NEW JERSEY HEALTH CARE ASSOCIATES
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Dates
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Enumeration Date | 11/01/2013
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Last Update Date | 11/01/2013
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Provider Practice Location Address
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Address Line | 315 CEDAR LN
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City | TEANECK
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State | NJ
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Zip | 07666-3442
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Country | US
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Telephone | 201-836-1900
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Fax | 201-836-4502
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Provider Business Mailing Address
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Address Line | 315 CEDAR LN
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City | TEANECK
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State | NJ
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Zip | 07666-3442
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Country | US
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Telephone | 201-836-1900
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Fax | 201-836-4502
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Authorized Official
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Title or Position | OWNER
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Name | DR. KENNETH ERMANN
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Credential | D.C.
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Telephone | 201-836-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 38MC00370700
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License Number State | NJ
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