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General NPI Number Information
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NPI Number | 1588100531
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Entity Type | Organization
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Legal Business Name | MAURICE CAMPANELLI DC INC
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Dates
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Enumeration Date | 01/16/2017
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Last Update Date | 07/03/2018
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Provider Practice Location Address
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Address Line | 257 MONMOUTH RD STE 1A
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City | OAKHURST
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State | NJ
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Zip | 07755
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Country | US
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Telephone | 732-775-6613
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Fax |
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Provider Business Mailing Address
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Address Line | 257 MONMOUTH RD STE 1A
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City | OAKHURST
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State | NJ
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Zip | 07755-1501
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Country | US
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Telephone | 732-775-6613
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. MAURICE CAMPANELLI
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Credential | D.C.
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Telephone | 732-775-6613
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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 | 38MC00470300
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License Number State | NJ
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