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General NPI Number Information
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NPI Number | 1710022272
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Entity Type | Organization
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Legal Business Name | DREW FAMILY CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 09/08/2008
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Provider Practice Location Address
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Address Line | 315 E NORTHFIELD RD SUITE 3-C
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4896
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Country | US
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Telephone | 973-533-0755
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Fax | 973-533-0955
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Provider Business Mailing Address
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Address Line | 315 E NORTHFIELD RD SUITE 3-C
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4896
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Country | US
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Telephone | 973-533-0755
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Fax | 973-533-0955
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. DREW EVAN SPERGEL
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Credential | D.C.
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Telephone | 973-533-0755
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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 | MC00564400
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License Number State | NJ
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