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General NPI Number Information
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NPI Number | 1700902541
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Entity Type | Individual
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Provider Name | RANDI BLITZ D.C
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Gender | Female
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 188 PASSAIC ST
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City | PASSAIC
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State | NJ
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Zip | 07055-6455
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Country | US
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Telephone | 201-983-3894
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Fax |
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Provider Business Mailing Address
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Address Line | 213 WARWICK LN
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City | LEONIA
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State | NJ
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Zip | 07605-1127
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Country | US
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Telephone | 201-242-6816
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Fax | 201-567-4740
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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 | X009515
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License Number State | NY
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