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General NPI Number Information
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NPI Number | 1225246390
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Entity Type | Organization
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Legal Business Name | DEBORAH C. ROSE, D.C., P.C
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Dates
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Enumeration Date | 05/20/2007
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Last Update Date | 09/16/2022
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Provider Practice Location Address
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Address Line | 200 WHITE RD STE 110
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City | LITTLE SILVER
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State | NJ
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Zip | 07739-1160
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Country | US
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Telephone | 732-530-7229
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Fax |
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Provider Business Mailing Address
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Address Line | 200 WHITE RD STE 110
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City | LITTLE SILVER
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State | NJ
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Zip | 07739-1160
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Country | US
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Telephone | 732-530-7229
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEBORAH C ROSE
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Credential | D.C.
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Telephone | 732-530-7229
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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 | 38MC00678200
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License Number State | NJ
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