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General NPI Number Information
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NPI Number | 1184597379
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Entity Type | Organization
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Legal Business Name | SK CHIRO LLC
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 21 GRAND AVE STE 503
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City | PALISADES PARK
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State | NJ
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Zip | 07650-1083
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Country | US
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Telephone | 201-941-0993
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Fax | 908-888-0248
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Provider Business Mailing Address
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Address Line | 21 GRAND AVE STE 503
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City | PALISADES PARK
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State | NJ
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Zip | 07650-1083
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Country | US
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Telephone | 201-941-0993
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Fax | 908-888-0248
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Authorized Official
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Title or Position | PRESIDENT
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Name | SEON K KIM
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Credential | DC
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Telephone | 201-941-0993
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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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