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General NPI Number Information
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NPI Number | 1396850228
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Entity Type | Organization
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Legal Business Name | AFFILIATED PHYSICIANS NETWORK, P.C.
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 11/10/2010
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Provider Practice Location Address
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Address Line | 740 MANTUA PIKE
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City | WOODBURY HEIGHTS
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State | NJ
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Zip | 08097-1149
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Country | US
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Telephone | 856-845-0360
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Fax | 856-845-1881
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Provider Business Mailing Address
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Address Line | 740 MANTUA PIKE
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City | WOODBURY HEIGHTS
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State | NJ
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Zip | 08097-1149
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Country | US
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Telephone | 856-845-0360
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Fax | 856-845-1881
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Authorized Official
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Title or Position | CEO
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Name | MR. TIMOTHY LEONARD PROBE
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Credential | DC
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Telephone | 856-845-0360
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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 | 38MC00269500
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License Number State | NJ
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