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General NPI Number Information
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NPI Number | 1528347499
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Entity Type | Organization
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Legal Business Name | ABOVE AND BEYOND CHIROPRACTIC CENTERS LLC
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Dates
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Enumeration Date | 08/10/2011
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Last Update Date | 08/10/2011
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Provider Practice Location Address
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Address Line | 109 BOSTON POST RD
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City | ORANGE
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State | CT
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Zip | 06477-3235
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Country | US
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Telephone | 203-799-7100
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Fax | 203-298-4601
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Provider Business Mailing Address
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Address Line | 109 BOSTON POST RD
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City | ORANGE
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State | CT
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Zip | 06477-3235
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Country | US
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Telephone | 203-799-7100
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Fax | 203-298-4601
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Authorized Official
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Title or Position | OWNER
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Name | DR. JENNIFER A KOBRIN AL GHURAIBAWI
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Credential | DC
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Telephone | 203-799-7100
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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 | 001690
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License Number State | CT
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