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General NPI Number Information
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NPI Number | 1639332943
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Entity Type | Organization
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Legal Business Name | MAJOR ADJUSTMENTS, INC
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 05/06/2019
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Provider Practice Location Address
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Address Line | 6310 BERGENLINE AVE
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-1620
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Country | US
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Telephone | 201-869-6220
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Fax | 201-869-5145
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Provider Business Mailing Address
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Address Line | 6310 BERGENLINE AVE
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-1620
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Country | US
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Telephone | 201-869-6220
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Fax | 201-869-5145
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Authorized Official
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Title or Position | DOCTOR OF OSTEOPATHY
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Name | DR. DANIEL W MAENNER
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Credential | D. O.
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Telephone | 201-869-6220
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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 | 38MC00505000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA01198200
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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