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General NPI Number Information
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NPI Number | 1518144138
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Entity Type | Organization
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Legal Business Name | PAIN RELIEF CENTER OF NJ PC
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Dates
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Enumeration Date | 01/25/2008
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Last Update Date | 01/25/2008
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Provider Practice Location Address
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Address Line | 190 S HARRISON ST
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City | EAST ORANGE
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State | NJ
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Zip | 07018-1502
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Country | US
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Telephone | 973-395-1200
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Fax | 973-395-0016
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Provider Business Mailing Address
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Address Line | 190 S HARRISON ST
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City | EAST ORANGE
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State | NJ
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Zip | 07018-1502
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Country | US
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Telephone | 973-395-1200
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Fax | 973-395-0016
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH SALOMONE
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Credential | DC
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Telephone | 973-395-1200
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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 | MC04733
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License Number State | NJ
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