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General NPI Number Information
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NPI Number | 1417037243
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Entity Type | Organization
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Legal Business Name | SPRINGFIELD FAMILY CHIROPRACTIC, PA
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1 PINE TREE LN
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City | JOBSTOWN
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State | NJ
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Zip | 08041-2028
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Country | US
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Telephone | 609-265-7727
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Fax | 609-265-7079
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Provider Business Mailing Address
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Address Line | 1 PINE TREE LN
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City | JOBSTOWN
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State | NJ
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Zip | 08041-2028
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Country | US
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Telephone | 609-265-7727
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Fax | 609-265-7079
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. DAWN M. KERENSKY-WILLE
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Credential | DC
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Telephone | 609-265-7727
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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 | MC04888
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License Number State | NJ
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