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General NPI Number Information
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NPI Number | 1598814188
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Entity Type | Organization
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Legal Business Name | HENDLEY CHIROPRACTIC CENTER LLC
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 52 E NEW YORK AVE
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2380
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Country | US
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Telephone | 609-788-3539
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Fax | 609-788-3582
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Provider Business Mailing Address
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Address Line | 30 S MAINE AVE
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City | ATLANTIC CITY
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State | NJ
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Zip | 08401-7922
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Country | US
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Telephone | 609-839-9408
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL SIMON HENDLEY
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Credential | D.C
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Telephone | 609-788-3539
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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 | 38MC00639900
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License Number State | NJ
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