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General NPI Number Information
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NPI Number | 1164517306
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Entity Type | Individual
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Provider Name | THOMAS M FALLON DC
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 09/19/2013
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Provider Practice Location Address
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Address Line | 20 COMMERCE ST
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City | FLEMINGTON
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State | NJ
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Zip | 08822
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Country | US
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Telephone | 908-782-6565
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Fax | 908-782-6327
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Provider Business Mailing Address
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Address Line | 20 COMMERCE STREET
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City | FLEMINGTON
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State | NJ
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Zip | 08822
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Country | US
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Telephone | 908-782-6565
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Fax | 908-782-6327
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 3064
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License Number State | NJ
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