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General NPI Number Information
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NPI Number | 1487839064
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Entity Type | Individual
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Provider Name | DARRIN JOHN MCDERMOTT DC, MBA
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Gender | Male
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 35 WEST MAIN ST
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City | DENVILLE
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State | NJ
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Zip | 07834-2174
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Country | US
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Telephone | 973-625-2650
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Fax |
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Provider Business Mailing Address
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Address Line | 35 WEST MAIN ST
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City | DENVILLE
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State | NJ
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Zip | 07834
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Country | US
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Telephone | 653-650-5714
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 38MC00662200
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License Number State | NJ
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