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General NPI Number Information
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NPI Number | 1619175908
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Entity Type | Organization
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Legal Business Name | BRENDA SAHLIN D.C.
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Dates
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Enumeration Date | 07/07/2007
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Last Update Date | 08/23/2007
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Provider Practice Location Address
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Address Line | 1300 STATE ROUTE 35 PLAZA III SUITE 101
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City | OCEAN
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State | NJ
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Zip | 07712-3537
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Country | US
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Telephone | 732-531-0999
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Fax | 732-531-5582
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Provider Business Mailing Address
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Address Line | 1300 STATE ROUTE 35 PLAZA III SUITE 101
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City | OCEAN
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State | NJ
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Zip | 07712-3537
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Country | US
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Telephone | 732-531-0999
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Fax | 732-531-5582
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | BRENDA ALICE SAHLIN
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Credential | D.C.
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Telephone | 732-531-0999
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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 | MC03938
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License Number State | NJ
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