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General NPI Number Information
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NPI Number | 1255467882
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Entity Type | Organization
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Legal Business Name | CHAIRO HEALTHCARE, L.L.C.
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 02/24/2010
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Provider Practice Location Address
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Address Line | 505 MAIN ST SUITE B
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City | LANOKA HARBOR
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State | NJ
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Zip | 08734-2211
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Country | US
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Telephone | 609-994-3730
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Fax | 609-994-3732
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Provider Business Mailing Address
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Address Line | 601 LAUREL ST
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City | BAYVILLE
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State | NJ
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Zip | 08721-2221
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Country | US
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Telephone | 609-994-3730
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Fax | 609-994-3732
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. ANTHONY JOSEPH BARONE
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Credential | D.C.
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Telephone | 609-994-3730
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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 | 38MC00284600
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License Number State | NJ
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