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General NPI Number Information
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NPI Number | 1720530397
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Entity Type | Organization
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Legal Business Name | MONMOUTH FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 10/31/2016
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Last Update Date | 10/31/2016
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Provider Practice Location Address
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Address Line | 740 BROAD ST
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4228
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Country | US
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Telephone | 732-530-7711
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Fax |
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Provider Business Mailing Address
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Address Line | 740 BROAD ST
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4228
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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 | OFFICE MANAGER
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Name | ALEXANDRA SCHULTHEISS
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Credential |
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Telephone | 732-768-2277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 38MC00302100
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License Number State | NJ
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