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General NPI Number Information
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NPI Number | 1568649531
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Entity Type | Organization
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Legal Business Name | EDWARD CATALANO, DC, LLC
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Dates
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Enumeration Date | 01/22/2008
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 50 FAIRFIELD RD
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City | FAIRFIELD
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State | NJ
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Zip | 07004-2414
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Country | US
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Telephone | 973-808-5550
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Fax | 973-808-5999
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Provider Business Mailing Address
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Address Line | 50 FAIRFIELD RD
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City | FAIRFIELD
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State | NJ
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Zip | 07004-2414
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Country | US
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Telephone | 973-808-5550
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Fax | 973-808-5999
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDWARD CATALANO
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Credential | DC
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Telephone | 973-808-5550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 38MC00326400
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License Number State | NJ
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