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General NPI Number Information
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NPI Number | 1588736250
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Entity Type | Organization
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Legal Business Name | WHITE CHIROPRACTIC HEALTH CENTER INCORPORATED
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 07/22/2009
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Provider Practice Location Address
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Address Line | 2055 ROUTE 88
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City | BRICK
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State | NJ
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Zip | 08724-3257
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Country | US
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Telephone | 732-892-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 2055 ROUTE 88
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City | BRICK
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State | NJ
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Zip | 08724-3257
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BETH WHITE
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Credential |
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Telephone | 732-892-2900
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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 | MC05647
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License Number State | NJ
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