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General NPI Number Information
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NPI Number | 1871348573
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Entity Type | Organization
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Legal Business Name | EAGLE EYE CHIROPRACTIC KINESIOLOGY LLC
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Dates
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Enumeration Date | 04/17/2024
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 70 PARK ST STE 101
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City | MONTCLAIR
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State | NJ
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Zip | 07042-2960
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Country | US
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Telephone | 203-331-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 16 HILLCREST DR
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City | LITTLE FALLS
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State | NJ
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Zip | 07424-2302
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Country | US
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Telephone | 203-331-2200
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT JOSEPH D'AQUILA
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Credential | DC
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Telephone | 203-331-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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