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General NPI Number Information
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NPI Number | 1356463863
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Entity Type | Organization
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Legal Business Name | SOMERSET CHIROPRACTIC CENTER, LLC
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11 CLYDE RD SUITE 103
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City | SOMERSET
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State | NJ
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Zip | 08873-5035
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Country | US
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Telephone | 732-568-1446
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Fax | 732-568-1447
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Provider Business Mailing Address
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Address Line | 11 CLYDE RD SUITE 103
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City | SOMERSET
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State | NJ
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Zip | 08873-5035
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Country | US
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Telephone | 732-568-1446
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Fax | 732-568-1447
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Authorized Official
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Title or Position | MANAGING MEMBER-OWNER
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Name | DR. MARK STRZEMINSKI
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Credential | D.C.
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Telephone | 732-568-1446
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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 | 38MC00479800
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License Number State | NJ
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