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NPI 1073420881

NPI 1073420881 : DOMINION HEALTH AND INJURY CARE LLC : OLD BRIDGE, NJ

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General NPI Number Information
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    NPI Number           |    1073420881
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    Entity Type          |    Organization 
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    Legal Business Name  |    DOMINION HEALTH AND INJURY CARE LLC 
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Dates
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    Enumeration Date     |    08/26/2026
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    Last Update Date     |    08/26/2026
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Provider Practice Location Address
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    Address Line         |    8998 NJ-18 SUITE 215
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    City                 |    OLD BRIDGE
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    State                |    NJ
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    Zip                  |    08857
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    Country              |    US
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    Telephone            |    617-543-4917
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    976 PRESIDENTIAL BLVD APT 6 
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    City                 |    TOMS RIVER
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    State                |    NJ
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    Zip                  |    08753-6558
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    Country              |    US
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    Telephone            |    617-543-4917
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    Fax                  |    617-543-4917
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Authorized Official
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    Title or Position    |    MANAGING MEMBER
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    Name                 |    DR. CHUKWUDI NWBUNWANNE ONWUAKOR 
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    Credential           |    DC
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    Telephone            |    617-543-4917
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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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