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General NPI Number Information
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NPI Number | 1205163573
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Entity Type | Organization
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Legal Business Name | SHULMAN WELLNESS CENTER LLC
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Dates
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Enumeration Date | 11/07/2009
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Last Update Date | 11/07/2009
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Provider Practice Location Address
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Address Line | 22 OLD SHORT HILLS RD SUITE 109
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5604
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Country | US
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Telephone | 973-994-1992
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Fax | 973-994-1995
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Provider Business Mailing Address
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Address Line | 22 OLD SHORT HILLS RD SUITE 109
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5604
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Country | US
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Telephone | 973-994-1992
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Fax | 973-994-1995
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. JEFFREY S SHULMAN
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Credential | D.C.
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Telephone | 973-994-1992
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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 | 38MC00473800
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License Number State | NJ
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