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General NPI Number Information
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NPI Number | 1295235091
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Entity Type | Organization
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Legal Business Name | SHORE CHIROPRACTIC AND ACUPUNCTURE, LLC
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Dates
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Enumeration Date | 02/19/2018
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Last Update Date | 02/19/2018
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Provider Practice Location Address
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Address Line | 180 WHITE RD STE 205
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City | LITTLE SILVER
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State | NJ
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Zip | 07739-1166
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Country | US
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Telephone | 732-842-4412
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Fax |
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Provider Business Mailing Address
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Address Line | 180 WHITE RD STE 205
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City | LITTLE SILVER
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State | NJ
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Zip | 07739-1166
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Country | US
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Telephone | 732-842-4412
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH R SCAPICIO
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Credential | DC
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Telephone | 732-842-4412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 25MZ00064800
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License Number State | NJ
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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 | 38MC00258800
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License Number State | NJ
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