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General NPI Number Information
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NPI Number | 1821089509
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Entity Type | Individual
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Provider Name | RICHARD CHARLES HEALY D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 312 SAINT NICHOLAS AVENUE
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City | HAWORTH
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State | NJ
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Zip | 07641-1829
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Country | US
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Telephone | 201-390-4252
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Fax | 201-384-7843
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Provider Business Mailing Address
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Address Line | 27 ROXBURY RD
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City | DUMONT
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State | NJ
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Zip | 07628-1119
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Country | US
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Telephone | 201-390-4252
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Fax | 201-384-7843
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 38MC00176900
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License Number State | NJ
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