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General NPI Number Information
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NPI Number | 1508141169
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Entity Type | Organization
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Legal Business Name | WEST HUDSON CHIROPRACTIC CENTER, PC
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 267 KEARNY AVE
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City | KEARNY
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State | NJ
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Zip | 07032-2507
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Country | US
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Telephone | 201-991-1414
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Fax | 201-997-3277
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Provider Business Mailing Address
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Address Line | 267 KEARNY AVE
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City | KEARNY
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State | NJ
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Zip | 07032-2507
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Country | US
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Telephone | 201-991-1414
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Fax | 201-997-3277
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH MAGGIO IV
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Credential | D.C.
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Telephone | 201-991-1414
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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 | 38MC00382100
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License Number State | NJ
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