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General NPI Number Information
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NPI Number | 1225319007
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Entity Type | Organization
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Legal Business Name | WELLNESS FOR LIFE ASSOCIATES INC
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Dates
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Enumeration Date | 09/07/2011
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Last Update Date | 02/21/2019
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Provider Practice Location Address
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Address Line | 401 HILLSDALE AVE
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City | HILLSDALE
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State | NJ
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Zip | 07642-2712
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Country | US
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Telephone | 201-497-6630
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Fax | 201-497-6620
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Provider Business Mailing Address
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Address Line | 401 HILLSDALE AVE
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City | HILLSDALE
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State | NJ
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Zip | 07642-2712
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Country | US
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Telephone | 201-497-6630
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Fax | 201-497-6620
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN A MCHUGH
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Credential | D.C.
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Telephone | 201-497-6630
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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 | MC004482
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License Number State | NJ
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