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General NPI Number Information
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NPI Number | 1366605545
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Entity Type | Organization
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Legal Business Name | BENIZZI FAMILY CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 10/30/2008
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Provider Practice Location Address
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Address Line | 1 ERRICKSON CT
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City | JOBSTOWN
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State | NJ
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Zip | 08041-2021
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Country | US
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Telephone | 609-456-1459
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Fax | 609-723-0401
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Provider Business Mailing Address
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Address Line | 1 ERRICKSON CT
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City | JOBSTOWN
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State | NJ
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Zip | 08041-2021
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Country | US
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Telephone | 609-456-1459
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Fax | 609-723-0401
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Authorized Official
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Title or Position | OFFICER
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Name | DR. DIANE DIMARCO
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Credential | D.C.
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Telephone | 609-456-1459
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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 | 38MC00618900
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License Number State | NJ
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