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General NPI Number Information
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NPI Number | 1427273135
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Entity Type | Organization
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Legal Business Name | WILLIAMS CHIROPRACTIC CENTERS PC
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 810 MANTUA BLVD
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City | SEWELL
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State | NJ
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Zip | 08080-1344
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Country | US
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Telephone | 856-464-2300
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Fax | 856-629-9399
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Provider Business Mailing Address
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Address Line | 810 MANTUA BLVD
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City | SEWELL
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State | NJ
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Zip | 08080-1344
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Country | US
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Telephone | 856-464-2300
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Fax | 856-629-9399
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Authorized Official
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Title or Position | BILLING AND CREDENTIALING MANAGER
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Name | PATRICIA MURPHY
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Credential |
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Telephone | 856-423-7700
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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 | MC04400
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License Number State | NJ
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