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General NPI Number Information
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NPI Number | 1528293719
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Entity Type | Organization
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Legal Business Name | PRECISION CHIROPRACTIC CENTER LLC
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Dates
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Enumeration Date | 05/18/2009
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Last Update Date | 05/18/2009
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Provider Practice Location Address
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Address Line | 133 CEDAR LN
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City | TEANECK
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State | NJ
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Zip | 07666-4416
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Country | US
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Telephone | 201-883-0495
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Fax | 201-343-0777
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Provider Business Mailing Address
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Address Line | 133 CEDAR LN
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City | TEANECK
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State | NJ
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Zip | 07666-4416
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Country | US
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Telephone | 201-883-0495
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Fax | 201-343-0777
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. DAVID KROOPNICK
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Credential |
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Telephone | 201-883-0495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | X009717-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 38MC005657
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License Number State | NJ
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