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General NPI Number Information
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NPI Number | 1083949150
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Entity Type | Organization
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Legal Business Name | OAKLAND FAMILY CHIROPRATIC LLC
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Dates
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Enumeration Date | 10/07/2009
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Last Update Date | 10/07/2009
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Provider Practice Location Address
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Address Line | 410 RAMAPO VALLEY RD SUITE 102
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City | OAKLAND
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State | NJ
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Zip | 07436-2735
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Country | US
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Telephone | 201-337-3377
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Fax | 201-337-3775
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Provider Business Mailing Address
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Address Line | 410 RAMAPO VALLEY RD SUITE 102
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City | OAKLAND
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State | NJ
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Zip | 07436-2735
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Country | US
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Telephone | 201-337-3377
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Fax | 201-337-3775
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. DARREN GEORGE HARTUNG
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Credential | D.C.
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Telephone | 201-337-3377
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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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