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General NPI Number Information
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NPI Number | 1811132426
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Entity Type | Organization
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Legal Business Name | THE WASHLESKI CHIROPRACTIC CENTER, PC
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Dates
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Enumeration Date | 12/10/2008
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Last Update Date | 12/10/2008
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Provider Practice Location Address
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Address Line | 179 STATE ROUTE 31 PLAZA 31
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City | FLEMINGTON
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State | NJ
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Zip | 08822-5743
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Country | US
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Telephone | 908-806-6171
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Fax | 908-806-6433
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Provider Business Mailing Address
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Address Line | 179 STATE ROUTE 31 PLAZA 31
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City | FLEMINGTON
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State | NJ
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Zip | 08822-5743
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Country | US
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Telephone | 908-806-6171
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Fax | 908-806-6433
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT A WASHLESKI
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Credential | DC
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Telephone | 908-806-6171
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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 | 25MZ00006500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 38MC00299200
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License Number State | NJ
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