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General NPI Number Information
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NPI Number | 1275832321
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Entity Type | Organization
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Legal Business Name | NOWCARE DOVER LLC
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Dates
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Enumeration Date | 03/15/2011
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Last Update Date | 02/16/2012
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Provider Practice Location Address
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Address Line | 504 N DUPONT HWY
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City | DOVER
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State | DE
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Zip | 19901-3961
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Country | US
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Telephone | 302-677-0600
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Fax | 302-677-0605
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Provider Business Mailing Address
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Address Line | 15 BURNT MILL RD STE D
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City | CHERRY HILL
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State | NJ
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Zip | 08003-3947
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Country | US
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Telephone | 856-429-7200
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Fax | 856-429-7280
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Authorized Official
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Title or Position | DOCTOR
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Name | TODD BOGOS
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Credential | DC
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Telephone | 302-677-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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