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General NPI Number Information
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NPI Number | 1376829382
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Entity Type | Organization
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Legal Business Name | MERCER FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 10/24/2011
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Last Update Date | 10/31/2011
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Provider Practice Location Address
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Address Line | 3105 NOTTINGHAM WAY
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City | HAMILTON
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State | NJ
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Zip | 08619-1844
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Country | US
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Telephone | 609-631-7200
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Fax | 609-631-9363
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Provider Business Mailing Address
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Address Line | 3105 NOTTINGHAM WAY
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City | HAMILTON
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State | NJ
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Zip | 08619-1844
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Country | US
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Telephone | 609-631-7200
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Fax | 609-631-9363
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN FRANCIS CIVINSKI
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Credential | DC
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Telephone | 609-631-7200
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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 | 38MC00516500
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License Number State | NJ
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