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General NPI Number Information
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NPI Number | 1306903513
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Entity Type | Organization
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Legal Business Name | AMWELL CHIROPRACTIC CARE LLC
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 284 US HIGHWAY 206 BLDG D
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4624
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Country | US
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Telephone | 908-874-9220
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Fax | 908-874-9221
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Provider Business Mailing Address
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Address Line | 284 US HIGHWAY 206 BLDG D
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4624
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Country | US
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Telephone | 908-874-9220
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Fax | 908-874-9221
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOHN ROBERT BROW
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Credential | D.C.
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Telephone | 908-874-9220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | MC00468600
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License Number State | NJ
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