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General NPI Number Information
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NPI Number | 1538237102
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Entity Type | Individual
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Provider Name | DEBRA DEMARCO D.C.
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Gender | Female
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 15 EAST RAILROAD AVE SUITE C
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City | JAMESBURG
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State | NJ
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Zip | 08831
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Country | US
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Telephone | 732-521-1333
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Fax |
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Provider Business Mailing Address
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Address Line | 3371 LAWRENCEVILLE RD
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City | PRINCETON
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State | NJ
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Zip | 08540-4719
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Country | US
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Telephone | 609-688-0104
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Fax |
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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 | 02396
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License Number State | NJ
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