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General NPI Number Information
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NPI Number | 1275440281
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Entity Type | Organization
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Legal Business Name | SEA & SPINE CHIROPRACTIC
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 415 ROUTE 34 STE 108B
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City | COLTS NECK
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State | NJ
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Zip | 07722-2523
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Country | US
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Telephone | 410-271-2933
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Fax |
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Provider Business Mailing Address
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Address Line | 50 HAWKS WAY UNIT 22301
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City | MANCHESTER
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State | NJ
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Zip | 08759-5073
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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 | OWNER
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Name | DR. MIKAELA MARTIN
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Credential | DC
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Telephone | 410-271-2933
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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 |
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