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General NPI Number Information
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NPI Number | 1881617231
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Entity Type | Organization
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Legal Business Name | LAKEWOOD TOTAL CARE, P.C.
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1215 HIGHWAY 70 SUITE 1002
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5947
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Country | US
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Telephone | 732-370-9005
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Fax | 732-370-0888
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Provider Business Mailing Address
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Address Line | PO BOX 28
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City | COLTS NECK
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State | NJ
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Zip | 07722-0028
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Country | US
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Telephone | 732-332-9000
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Fax | 732-332-9444
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Authorized Official
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Title or Position | PARTNER
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Name | DAVID SILVERBERG
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Credential | D.C.
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Telephone | 732-370-9005
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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 | 38MC00598700
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License Number State | NJ
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