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General NPI Number Information
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NPI Number | 1619166352
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Entity Type | Organization
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Legal Business Name | MONROE CHIROPRACTIC PC
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Dates
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Enumeration Date | 10/18/2007
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Last Update Date | 09/10/2008
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Provider Practice Location Address
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Address Line | 15 E RAILROAD AVE SUITE C
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City | JAMESBURG
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State | NJ
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Zip | 08831-1465
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Country | US
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Telephone | 732-521-1333
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Fax | 732-521-1687
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Provider Business Mailing Address
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Address Line | 15 E RAILROAD AVE SUITE C
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City | JAMESBURG
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State | NJ
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Zip | 08831-1465
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Country | US
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Telephone | 732-521-1333
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Fax | 732-521-1687
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. DEBRA DEMARCO
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Credential | D.C.
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Telephone | 732-521-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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