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General NPI Number Information
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NPI Number | 1871793489
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Entity Type | Individual
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Provider Name | MARC EISENBERGER D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2007
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Last Update Date | 07/21/2007
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Provider Practice Location Address
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Address Line | 1510 CORLIES AVE
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City | NEPTUNE
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State | NJ
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Zip | 07753-4904
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Country | US
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Telephone | 732-775-1826
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Fax | 732-775-1827
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Provider Business Mailing Address
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Address Line | 12 GRACE RD
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-2752
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Country | US
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Telephone | 732-651-8745
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Fax | 732-651-8746
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | MC00491000
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License Number State | NJ
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