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General NPI Number Information
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NPI Number | 1225102965
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Entity Type | Organization
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Legal Business Name | CORRECTIVE CARE GROUP PC
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 09/15/2011
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Provider Practice Location Address
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Address Line | 67 WEST PROSPECT ST
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-2118
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Country | US
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Telephone | 732-613-6000
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Fax | 732-613-6007
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Provider Business Mailing Address
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Address Line | 67 WEST PROSPECT ST
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-2118
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Country | US
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Telephone | 732-613-6000
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Fax | 732-613-6007
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN J WOLKOFF
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Credential | DC
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Telephone | 732-613-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 46TR00414100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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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