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General NPI Number Information
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NPI Number | 1528466828
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC HEALING CENTER OF NJ
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Dates
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Enumeration Date | 12/18/2014
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Last Update Date | 12/18/2014
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Provider Practice Location Address
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Address Line | 142 ROUTE 23
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City | POMPTON PLAINS
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State | NJ
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Zip | 07444-2000
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Country | US
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Telephone | 973-872-2133
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Fax |
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Provider Business Mailing Address
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Address Line | 142 ROUTE 23
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City | POMPTON PLAINS
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State | NJ
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Zip | 07444-2000
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Country | US
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Telephone | 973-872-2133
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. DONNA PERILLO
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Credential | DC,MS,CNS
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Telephone | 973-872-2133
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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 |
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License Number State |
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