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General NPI Number Information
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NPI Number | 1427699065
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Entity Type | Organization
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Legal Business Name | SOLID CORE LLC
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Dates
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Enumeration Date | 10/04/2019
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Last Update Date | 10/04/2019
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Provider Practice Location Address
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Address Line | 144 E DEKALB PIKE STE 202
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-2150
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Country | US
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Telephone | 610-337-3555
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Fax |
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Provider Business Mailing Address
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Address Line | 39 TWO PENNY RUN W
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City | PILESGROVE
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State | NJ
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Zip | 08098-2643
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Country | US
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Telephone | 609-280-9036
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. NICHOLAS S. MARINI
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Credential | DC
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Telephone | 609-280-9036
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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 |
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License Number State |
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