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General NPI Number Information
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NPI Number | 1730280199
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Entity Type | Organization
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Legal Business Name | MEADOWLANDS CHIROPRACTIC CENTER, P.A.
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 360 RIDGE RD
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City | LYNDHURST
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State | NJ
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Zip | 07071-2212
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Country | US
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Telephone | 201-438-2404
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Fax | 201-438-5739
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Provider Business Mailing Address
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Address Line | 360 RIDGE RD
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City | LYNDHURST
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State | NJ
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Zip | 07071-2212
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Country | US
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Telephone | 201-438-2404
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Fax | 201-438-5739
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. FRANK V. ZACCARIA
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Credential | D.C.
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Telephone | 201-438-2404
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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 | 38MC00131700
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License Number State | NJ
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