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General NPI Number Information
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NPI Number | 1225362163
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Entity Type | Organization
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Legal Business Name | ACAMPORA FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 09/24/2009
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Last Update Date | 01/28/2011
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Provider Practice Location Address
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Address Line | 1156 LIBERTY AVE
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City | HILLSIDE
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State | NJ
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Zip | 07205-2142
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Country | US
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Telephone | 214-597-1362
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Fax | 908-233-3705
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Provider Business Mailing Address
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Address Line | PO BOX 849
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City | SCOTCH PLAINS
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State | NJ
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Zip | 07076-0849
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Country | US
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Telephone | 214-597-1361
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. ANTHONY LOUIS ACAMPORA III
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Credential | D.C.
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Telephone | 214-597-1361
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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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