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General NPI Number Information
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NPI Number | 1659204576
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Entity Type | Organization
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Legal Business Name | BACK AND NECK CENTER OF TOMS RIVER
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 860 FISCHER BLVD STE 7
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City | TOMS RIVER
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State | NJ
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Zip | 08753-3824
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Country | US
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Telephone | 732-522-0679
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Fax |
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Provider Business Mailing Address
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Address Line | 860 FISCHER BLVD STE 7
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City | TOMS RIVER
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State | NJ
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Zip | 08753-3824
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAMON NOONAN
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Credential | DC
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Telephone | 732-522-0679
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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 |
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License Number State |
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