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General NPI Number Information
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NPI Number | 1265774871
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Entity Type | Organization
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Legal Business Name | O'NEILL CHIROPRACTIC OF BRANCHBURG LLC
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Dates
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Enumeration Date | 03/21/2013
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Last Update Date | 03/21/2013
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Provider Practice Location Address
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Address Line | 971 ROUTE 202 N
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City | BRANCHBURG
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State | NJ
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Zip | 08876-3757
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Country | US
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Telephone | 908-723-0219
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Fax |
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Provider Business Mailing Address
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Address Line | 971 ROUTE 202 N
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City | BRANCHBURG
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State | NJ
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Zip | 08876-3757
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Country | US
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Telephone | 908-723-0219
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. EUGENE T. O'NEILL
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Credential | DC
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Telephone | 908-723-0219
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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 | MCO4805
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License Number State | NJ
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