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General NPI Number Information
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NPI Number | 1477353860
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Entity Type | Organization
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Legal Business Name | LONGO CHIROPRACTIC CENTER LLC
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Dates
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Enumeration Date | 03/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 321 MANTOLOKING RD
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City | BRICK
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State | NJ
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Zip | 08723-5741
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Country | US
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Telephone | 732-920-8918
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Fax |
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Provider Business Mailing Address
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Address Line | 35 OSPREY DR
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City | TOMS RIVER
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State | NJ
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Zip | 08753-2032
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Country | US
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Telephone | 973-580-3068
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Fax | 973-661-9141
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL PHILIP LONGO
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Credential | DC
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Telephone | 973-580-3068
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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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