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General NPI Number Information
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NPI Number | 1487843009
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Entity Type | Organization
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Legal Business Name | ASSOCIATED CHIROPRACTORS OF BURLINGTON COUNTY, LLC
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 698 MAIN ST
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City | LUMBERTON
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State | NJ
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Zip | 08048-5015
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Country | US
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Telephone | 609-261-0504
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Fax | 609-261-4158
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Provider Business Mailing Address
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Address Line | PO BOX 439
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City | LUMBERTON
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State | NJ
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Zip | 08048-0439
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Country | US
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Telephone | 609-261-0504
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Fax | 609-261-4158
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. LARRY A SABEL
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Credential | DC
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Telephone | 609-261-0504
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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 | 38MC00208100
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License Number State | NJ
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