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General NPI Number Information
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NPI Number | 1699978080
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Entity Type | Organization
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Legal Business Name | JAMISON FAMILY CHIROPRACTIC CENTER, P. C.
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 08/26/2019
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Provider Practice Location Address
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Address Line | 14 FOREST AVE STE 11
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City | CALDWELL
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State | NJ
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Zip | 07006-5208
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Country | US
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Telephone | 862-210-8994
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Fax | 862-210-8994
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Provider Business Mailing Address
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Address Line | 14 FOREST AVE STE 11
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City | CALDWELL
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State | NJ
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Zip | 07006-5208
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Country | US
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Telephone | 862-210-8994
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Fax | 862-210-8994
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATRICIA MARIE JAMISON
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Credential | D. C.
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Telephone | 862-210-8994
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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 | MC003978
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License Number State | NJ
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