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General NPI Number Information
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NPI Number | 1093877904
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Entity Type | Organization
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Legal Business Name | SICKLERVILLE CHIROPRACTIC
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 12/07/2011
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Provider Practice Location Address
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Address Line | 504 SICKLERVILLE RD
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-2626
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Country | US
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Telephone | 856-875-1515
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Fax |
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Provider Business Mailing Address
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Address Line | 504 SICKLERVILLE RD
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-2626
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Country | US
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Telephone | 856-875-1515
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. GREGORY BIGGIANI
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Credential | D.C.
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Telephone | 856-875-1515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | MC03689
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License Number State | NJ
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