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General NPI Number Information
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NPI Number | 1265899538
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Entity Type | Organization
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Legal Business Name | BACK & SPINE CENTER OF PASSAIC, LLC
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Dates
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Enumeration Date | 01/18/2016
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Last Update Date | 02/15/2016
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Provider Practice Location Address
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Address Line | 647 MAIN AVE SUITE 202
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City | PASSAIC
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State | NJ
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Zip | 07055-4934
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Country | US
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Telephone | 973-473-7200
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Fax | 973-473-7202
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Provider Business Mailing Address
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Address Line | 647 MAIN AVE SUITE 202
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City | PASSAIC
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State | NJ
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Zip | 07055-4934
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Country | US
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Telephone | 973-473-7200
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Fax | 973-473-7202
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Authorized Official
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Title or Position | OWNER
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Name | DR. RENATO M. CAPPELLO
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Credential | DC
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Telephone | 973-473-7200
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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 | 38MC00550700
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License Number State | NJ
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