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General NPI Number Information
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NPI Number | 1689946600
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Entity Type | Organization
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Legal Business Name | VERCHIO CHIROPRACTIC AND WELLNESS
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Dates
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Enumeration Date | 02/07/2012
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Last Update Date | 02/07/2012
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Provider Practice Location Address
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Address Line | 1812 FRIES MILL RD
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City | WILLIAMSTOWN
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State | NJ
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Zip | 08094-3318
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Country | US
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Telephone | 856-881-4100
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Fax | 856-881-4122
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Provider Business Mailing Address
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Address Line | 1812 FRIES MILL RD
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City | WILLIAMSTOWN
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State | NJ
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Zip | 08094-3318
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Country | US
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Telephone | 856-881-4100
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Fax | 856-881-4122
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. JULIA A VERCHIO
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Credential | DC
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Telephone | 856-881-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 38MC00675800
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License Number State | NJ
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