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General NPI Number Information
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NPI Number | 1649468893
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Entity Type | Organization
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Legal Business Name | HOLLY CHIROPRACTIC ASSOCIATES, P.C.
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 01/10/2020
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Provider Practice Location Address
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Address Line | 1852 BURLINGTON MOUNT HOLLY RD
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City | WESTAMPTON
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State | NJ
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Zip | 08060-1070
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Country | US
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Telephone | 609-265-8100
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Fax | 609-265-8369
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Provider Business Mailing Address
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Address Line | 1852 BURLINGTON MOUNT HOLLY RD
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City | WESTAMPTON
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State | NJ
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Zip | 08060-1070
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Country | US
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Telephone | 609-265-8100
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Fax | 609-265-8369
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT W. MAHONEY
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Credential | D.C.
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Telephone | 609-265-8100
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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 | 38MC00391500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 38MC00391500
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License Number State | NJ
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