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General NPI Number Information
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NPI Number | 1205342300
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Entity Type | Organization
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Legal Business Name | EAST COAST CHIROPRACTIC ASSOCIATES, LLC
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Dates
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Enumeration Date | 12/27/2017
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Last Update Date | 12/27/2017
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Provider Practice Location Address
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Address Line | 3 LILAC LN
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City | BORDENTOWN
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State | NJ
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Zip | 08505-4820
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Country | US
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Telephone | 609-499-8108
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Fax |
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Provider Business Mailing Address
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Address Line | 3 LILAC LN
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City | BORDENTOWN
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State | NJ
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Zip | 08505-4820
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Country | US
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Telephone | 609-499-8108
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN STOBIE STOBIE
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Credential | BS, DC
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Telephone | 973-801-5246
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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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