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General NPI Number Information
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NPI Number | 1447438916
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Entity Type | Organization
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Legal Business Name | TLC FAMILY CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 1200 ROUTE 9 S
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City | HOWELL
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State | NJ
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Zip | 07731-3329
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Country | US
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Telephone | 732-409-3445
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Fax | 732-409-7344
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Provider Business Mailing Address
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Address Line | 1200 ROUTE 9 S
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City | HOWELL
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State | NJ
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Zip | 07731-3329
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Country | US
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Telephone |
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Fax | 732-409-7344
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Authorized Official
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Title or Position | OWNER
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Name | DR. BARBARA LADAGONA
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Credential | D.C.
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Telephone | 732-409-3445
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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 | MC01775
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License Number State | NJ
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