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General NPI Number Information
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NPI Number | 1750813200
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC HEALTH CLINIC OF STEWARTSVILLE LLC
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Dates
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Enumeration Date | 04/03/2017
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Last Update Date | 04/03/2017
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Provider Practice Location Address
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Address Line | 725 ROUTE 57
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City | STEWARTSVILLE
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State | NJ
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Zip | 08886
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Country | US
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Telephone | 908-454-2666
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Fax | 908-454-3315
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Provider Business Mailing Address
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Address Line | P.O. BOX 26 725 ROUTE 57
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City | STEWARTSVILLE
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State | NJ
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Zip | 08886
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Country | US
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Telephone | 908-454-2666
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Fax | 908-454-3315
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | MR. JOHN J WILLIX
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Credential | DC
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Telephone | 908-454-2666
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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 | NJ
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