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General NPI Number Information
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NPI Number | 1437307063
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Entity Type | Organization
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Legal Business Name | NJ ASSOCIATES INC.
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 01/27/2009
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Provider Practice Location Address
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Address Line | 20783 N 83RD AVE STE 110
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City | PEORIA
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State | AZ
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Zip | 85382-7429
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Country | US
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Telephone | 623-209-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 20783 N 83RD AVE STE 110
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City | PEORIA
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State | AZ
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Zip | 85382-7429
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Country | US
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Telephone | 623-209-2000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NICHOLAS JAY
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Credential | D.C.
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Telephone | 623-209-2000
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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 | 7771
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8004
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License Number State | AZ
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