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General NPI Number Information
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NPI Number | 1568570075
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Entity Type | Organization
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Legal Business Name | R & A CARE CLINIC,P.A.
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | 47 LEGION DRIVE.
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City | BERGENFIELD
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State | NJ
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Zip | 07621
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Country | US
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Telephone | 973-462-5731
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Fax | 973-884-8610
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Provider Business Mailing Address
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Address Line | 218 KINGSTON RD
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City | PARSIPPANY
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State | NJ
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Zip | 07054-3113
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Country | US
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Telephone | 973-462-5731
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Fax | 973-884-8610
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AMANA WANG
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Credential | D.C.
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Telephone | 973-462-5731
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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 | X011579
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3800669200MC
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License Number State | NJ
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