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General NPI Number Information
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NPI Number | 1689501371
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Entity Type | Organization
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Legal Business Name | DR.BIANCA-ALEXIS ILARRAZA D.C LLC
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 365 FRANKLIN AVE
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City | WYCKOFF
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State | NJ
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Zip | 07481-1971
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Country | US
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Telephone | 201-846-7770
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Fax |
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Provider Business Mailing Address
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Address Line | 12 HUBBARD LN
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City | RAMSEY
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State | NJ
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Zip | 07446-2202
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Country | US
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Telephone | 845-304-9236
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BIANCA-ALEXIS ILARRAZA KLEPPER
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Credential | DR.
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Telephone | 845-304-9236
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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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