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General NPI Number Information
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NPI Number | 1215031992
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Entity Type | Organization
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Legal Business Name | CHIROMERGE CHIROPRACTIC CENTER PC
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 06/12/2014
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Provider Practice Location Address
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Address Line | 736 MOUNTAIN BLVD
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City | WATCHUNG
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State | NJ
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Zip | 07069-6243
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Country | US
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Telephone | 908-753-0144
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Fax | 908-753-5445
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Provider Business Mailing Address
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Address Line | 736 MOUNTAIN BLVD
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City | WATCHUNG
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State | NJ
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Zip | 07069-6243
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Country | US
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Telephone | 908-753-0144
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Fax | 908-753-5445
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. FRANCIS DONARUMA
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Credential | DC
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Telephone | 908-753-0144
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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 | 2938
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License Number State | NJ
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