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NPI 1801031034

NPI 1801031034 : CHIROPRACTIC ORTHOPEDIC ASSOCIATES LLP : FREEHOLD, NJ

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General NPI Number Information
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    NPI Number           |    1801031034
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHIROPRACTIC ORTHOPEDIC ASSOCIATES LLP 
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Dates
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    Enumeration Date     |    12/02/2008
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    Last Update Date     |    11/22/2022
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Provider Practice Location Address
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    Address Line         |    3499 ROUTE 9 N SUITE 2B
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    City                 |    FREEHOLD
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    State                |    NJ
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    Zip                  |    07728-3258
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    Country              |    US
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    Telephone            |    732-431-1126
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    Fax                  |    732-414-1551
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Provider Business Mailing Address
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    Address Line         |    PO BOX 6723 
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    City                 |    FREEHOLD
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    State                |    NJ
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    Zip                  |    07728-6723
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    Country              |    US
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    Telephone            |    732-431-1126
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    Fax                  |    732-414-1551
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JAMES  HERZOG 
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    Credential           |    D.C.
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    Telephone            |    732-431-1126
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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 |    
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