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General NPI Number Information
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NPI Number | 1598810608
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Entity Type | Individual
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Provider Name | JAMES L BOAS I D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 479 RTE 79 STE 15
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City | MORGANVILLE
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State | NJ
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Zip | 07751-4062
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Country | US
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Telephone | 732-242-9541
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Fax | 732-242-9543
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Provider Business Mailing Address
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Address Line | 76 TULIP LN
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City | FREEHOLD
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State | NJ
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Zip | 07728-4086
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Country | US
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Telephone | 908-420-3589
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Fax | 732-887-8640
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 38MC00641100
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License Number State | NJ
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