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General NPI Number Information
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NPI Number | 1477274348
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Entity Type | Organization
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Legal Business Name | EAST HANOVER CHIROPRACTIC & WELLNESS LLC
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Dates
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Enumeration Date | 09/08/2022
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 460 RIDGEDALE AVE STE 1
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City | EAST HANOVER
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State | NJ
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Zip | 07936-1451
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Country | US
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Telephone | 973-887-5353
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Fax |
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Provider Business Mailing Address
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Address Line | 139 GREGLAWN DR
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City | CLIFTON
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State | NJ
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Zip | 07013-2536
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Country | US
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Telephone | 419-250-4467
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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. CIERRA L SEIFERT
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Credential | DC
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Telephone | 419-250-4467
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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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