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NPI 1780045385

NPI 1780045385 : PRAXIS HCS, INC. : VOORHEES, NJ

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General NPI Number Information
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    NPI Number           |    1780045385
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRAXIS HCS, INC. 
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Dates
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    Enumeration Date     |    03/10/2016
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    Last Update Date     |    04/08/2021
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Provider Practice Location Address
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    Address Line         |    242 TERRACE BLVD STE D1 
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    City                 |    VOORHEES
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    State                |    NJ
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    Zip                  |    08043-4209
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    Country              |    US
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    Telephone            |    856-486-4866
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 219 
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    City                 |    VOORHEES
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    State                |    NJ
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    Zip                  |    08043-0219
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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    |    PRESIDENT
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    Name                 |    MR. DAVID C HAISLIP 
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    Credential           |    
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    Telephone            |    856-486-4866
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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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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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