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General NPI Number Information
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NPI Number | 1225452295
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Entity Type | Organization
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Legal Business Name | WHIPPANY PAIN RELIEF & WELLNESS CENTER LLC
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Dates
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Enumeration Date | 02/12/2014
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Last Update Date | 02/12/2014
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Provider Practice Location Address
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Address Line | 831 ROUTE 10
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City | WHIPPANY
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State | NJ
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Zip | 07981-1154
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Country | US
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Telephone | 973-585-7315
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Fax |
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Provider Business Mailing Address
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Address Line | 831 ROUTE 10
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City | WHIPPANY
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State | NJ
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Zip | 07981-1154
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING REPRESENTATIVE
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Name | DEBORAH HILDERLEY
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Credential |
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Telephone | 352-683-3855
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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 | NJ
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