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General NPI Number Information
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NPI Number | 1851456784
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Entity Type | Organization
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Legal Business Name | MASTROBATTISTA CHIROPRACTIC LLC
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 02/14/2020
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Provider Practice Location Address
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Address Line | 10 ANDERSON HILL RD
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City | BERNARDSVILLE
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State | NJ
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Zip | 07924-2323
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Country | US
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Telephone | 908-766-3943
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Fax |
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Provider Business Mailing Address
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Address Line | 10 ANDERSON HILL RD
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City | BERNARDSVILLE
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State | NJ
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Zip | 07924-2323
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Country | US
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Telephone | 908-766-3943
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Fax |
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Authorized Official
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Title or Position | OWNER-DOCTOR
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Name | DR. JONATHAN P MASTROBATTISTA
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Credential | DC
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Telephone | 908-766-3943
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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 | 2966
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License Number State | NJ
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