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General NPI Number Information
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NPI Number | 1164650511
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC NEUROLOGY CENTER OF ESSEX COUNTY LLC
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Dates
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Enumeration Date | 06/24/2009
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Last Update Date | 07/06/2018
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Provider Practice Location Address
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Address Line | 685 BLOOMFIELD AVENUE SUITE 104
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City | VERONA
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State | NJ
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Zip | 07044-1600
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Country | US
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Telephone | 973-239-0070
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Fax | 973-239-9105
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Provider Business Mailing Address
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Address Line | 685 BLOOMFIELD AVENUE SUITE 104
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City | VERONA
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State | NJ
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Zip | 07044-1600
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Country | US
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Telephone | 973-239-0070
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Fax | 973-239-9105
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL FRANK STEFANELLI
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Credential | DC
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Telephone | 973-239-0070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | MCO3344
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License Number State | NJ
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