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General NPI Number Information
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NPI Number | 1508028689
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Entity Type | Organization
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Legal Business Name | BELLUCCI CHIROPRACTIC LLC
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 11/04/2015
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Provider Practice Location Address
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Address Line | 141 RIDGE RD
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City | NORTH ARLINGTON
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State | NJ
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Zip | 07031-6042
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Country | US
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Telephone | 201-998-0002
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Fax | 201-998-3416
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Provider Business Mailing Address
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Address Line | 141 RIDGE RD
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City | NORTH ARLINGTON
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State | NJ
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Zip | 07031-6042
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Country | US
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Telephone | 201-998-0002
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Fax | 201-998-3416
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. LORA BELLUCCI
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Credential | DC
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Telephone | 201-998-0002
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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 | 38MC00549700
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License Number State | NJ
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