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General NPI Number Information
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NPI Number | 1730706037
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Entity Type | Organization
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Legal Business Name | BFS PERFORMANCE & REHAB
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 21 FADEM RD STE 12A
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-3136
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Country | US
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Telephone | 201-898-5204
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Fax |
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Provider Business Mailing Address
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Address Line | 1132 CHARLOTTE PL
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City | RAHWAY
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State | NJ
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Zip | 07065-2728
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Country | US
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Telephone | 631-678-7928
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/ACUPUNCTURE
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Name | DR. ALLISSON HEFFRON
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Credential |
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Telephone | 201-898-5204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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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 |
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License Number State |
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