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General NPI Number Information
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NPI Number | 1063938157
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Entity Type | Organization
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Legal Business Name | WHIPLASH CLINIC
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 127 CHURCH RD STE 200
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City | MARLTON
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State | NJ
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Zip | 08053-9402
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Country | US
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Telephone | 888-256-7888
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Fax |
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Provider Business Mailing Address
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Address Line | 127 CHURCH RD STE 200
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City | MARLTON
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State | NJ
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Zip | 08053-9402
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUNGSIK KIM
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Credential |
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Telephone | 424-599-2754
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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 | NJ
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