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General NPI Number Information
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NPI Number | 1083929582
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Entity Type | Organization
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Legal Business Name | PRINCETON NATURAL HEALTH CARE ASSOCIATES
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 08/10/2010
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Provider Practice Location Address
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Address Line | 204 N HARRISON ST FL 1
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City | PRINCETON
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State | NJ
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Zip | 08540-3507
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Country | US
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Telephone | 201-404-0274
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Fax |
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Provider Business Mailing Address
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Address Line | 204 N HARRISON ST FL 1
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City | PRINCETON
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State | NJ
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Zip | 08540-3507
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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 | PHYSICIAN/OWNER
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Name | DR. JOSEPH MEZYK
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Credential | D.C.
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Telephone | 201-404-0274
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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 | 38MC00296900
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License Number State | NJ
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