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General NPI Number Information
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NPI Number | 1528193083
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Entity Type | Individual
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Provider Name | JAMES JOHN KOSTINAS D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 143 UPPER FERRY RD
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City | EWING
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State | NJ
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Zip | 08628-1528
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Country | US
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Telephone | 609-883-2225
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Fax | 609-883-1682
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Provider Business Mailing Address
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Address Line | 143 UPPER FERRY RD
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City | EWING
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State | NJ
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Zip | 08628-1528
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Country | US
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Telephone | 609-883-2225
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Fax | 609-883-1682
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00315700
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License Number State | NJ
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