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General NPI Number Information
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NPI Number | 1689997470
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Entity Type | Individual
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Provider Name | ANN BLINCHIK MAUGERI D.C.
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Gender | Female
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Dates
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Enumeration Date | 03/08/2010
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Last Update Date | 03/08/2010
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Provider Practice Location Address
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Address Line | 36 MAJESTIC DR
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City | FREEHOLD
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State | NJ
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Zip | 07728-1449
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Country | US
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Telephone | 732-580-5397
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Fax | 732-252-8729
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Provider Business Mailing Address
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Address Line | 36 MAJESTIC DR
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City | FREEHOLD
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State | NJ
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Zip | 07728-1449
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Country | US
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Telephone | 732-580-5397
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Fax | 732-252-8729
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 38MC00454500
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License Number State | NJ
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