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General NPI Number Information
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NPI Number | 1245492362
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC ARTS BUILDING
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 159 ROUTE 46
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City | ROCKAWAY
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State | NJ
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Zip | 07866-4019
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Country | US
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Telephone | 973-625-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 159 ROUTE 46
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City | ROCKAWAY
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State | NJ
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Zip | 07866-4019
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Country | US
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Telephone | 973-625-1500
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL P MCGUIRE SR.
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Credential | D.C.
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Telephone | 973-625-1500
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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 | 38MC00143100
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License Number State | NJ
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