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General NPI Number Information
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NPI Number | 1407021256
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Entity Type | Organization
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Legal Business Name | MIHLON FAMILY CHIROPRACTIC CENTER, LLC
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 709 ROUTE 9
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City | BAYVILLE
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State | NJ
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Zip | 08721-2535
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Country | US
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Telephone | 732-237-0933
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Fax |
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Provider Business Mailing Address
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Address Line | 709 ROUTE 9
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City | BAYVILLE
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State | NJ
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Zip | 08721-2535
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Country | US
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Telephone | 732-237-0933
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANITA LOUISE MIHLON
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Credential | D.C.
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Telephone | 732-237-0933
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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 | 38MC00414300
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License Number State | NJ
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