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General NPI Number Information
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NPI Number | 1710358981
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Entity Type | Individual
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Provider Name | CLINTON BANEY DC
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Gender | Male
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Dates
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Enumeration Date | 10/14/2015
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Last Update Date | 09/27/2019
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Provider Practice Location Address
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Address Line | 801 HUGHES DR
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City | HAMILTON
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State | NJ
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Zip | 08690
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Country | US
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Telephone | 609-584-1313
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Fax | 609-584-1972
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Provider Business Mailing Address
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Address Line | 224 N MAIN ST
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City | WILLIAMSTOWN
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State | NJ
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Zip | 08094-1410
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Country | US
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Telephone | 815-988-1393
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Fax |
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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 | DC011201
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104557252
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00734800
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License Number State | NJ
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