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General NPI Number Information
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NPI Number | 1720404387
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Entity Type | Organization
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Legal Business Name | CENTRAL JERSEY CHIROPRACTIC, PC
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Dates
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Enumeration Date | 03/06/2014
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Last Update Date | 03/06/2014
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Provider Practice Location Address
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Address Line | 176 ROUTE 9 STE 204
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City | ENGLISHTOWN
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State | NJ
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Zip | 07726-9220
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Country | US
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Telephone | 917-750-5111
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Fax |
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Provider Business Mailing Address
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Address Line | 312 SINCLAIR CT
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City | MORGANVILLE
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State | NJ
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Zip | 07751-2034
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRANK J MANDARINO
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Credential | DC
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Telephone | 917-750-5111
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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 |
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License Number State |
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