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General NPI Number Information
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NPI Number | 1376728865
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Entity Type | Organization
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Legal Business Name | LADAO CHIROPRACTIC NJ,P.C.
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 25 KILMER DR STE 109
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1561
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Country | US
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Telephone | 732-617-8150
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Fax | 732-617-1818
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Provider Business Mailing Address
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Address Line | 25 KILMER DR STE 109
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1561
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | STELLA LADAO
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Credential |
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Telephone | 732-617-8150
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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 | 38MC00561400
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License Number State | NJ
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