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General NPI Number Information
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NPI Number | 1598844383
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Entity Type | Organization
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Legal Business Name | FREEDMAN CHIROPRACTIC CENTER LLC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | D6 BRIER HILL CT
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3335
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Country | US
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Telephone | 732-254-6011
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Fax | 732-254-7271
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Provider Business Mailing Address
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Address Line | D6 BRIER HILL CT
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3335
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Country | US
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Telephone | 732-254-6011
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Fax | 732-254-7271
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Authorized Official
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Title or Position | PRESIDENT AND MANAGING MEMBER
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Name | DR. KENNETH JAY FREEDMAN
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Credential | D.C.
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Telephone | 732-254-6011
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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 | 01680
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License Number State | NJ
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