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General NPI Number Information
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NPI Number | 1770893604
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Entity Type | Organization
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Legal Business Name | SWEDESBORO COMMUNITY CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 10/13/2010
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Last Update Date | 10/13/2010
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Provider Practice Location Address
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Address Line | 1452 KINGS HWY
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City | SWEDESBORO
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State | NJ
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Zip | 08085-1617
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Country | US
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Telephone | 856-294-9472
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 755
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City | SWEDESBORO
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State | NJ
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Zip | 08085-0755
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Country | US
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Telephone | 856-294-9472
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Fax | 856-294-9473
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Authorized Official
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Title or Position | OWNER
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Name | DR. MAUREEN E. WOJCIECHOWSKI
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Credential | D.C.
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Telephone | 856-294-9472
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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 | 38MC00600300
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License Number State | NJ
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