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General NPI Number Information
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NPI Number | 1891491387
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Entity Type | Organization
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Legal Business Name | UPPER CERVICAL CHIROPRACTIC OF NEW JERSEY LLC
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Dates
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Enumeration Date | 02/06/2023
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 101 UNION AVE
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City | MIDDLESEX
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State | NJ
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Zip | 08846-1039
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Country | US
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Telephone | 732-314-1580
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Fax |
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Provider Business Mailing Address
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Address Line | 101 UNION AVE
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City | MIDDLESEX
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State | NJ
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Zip | 08846-1039
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Country | US
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Telephone | 732-314-1580
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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. CHRISTOPHER LOY PATRICK LOY
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Credential | DC
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Telephone | 732-710-2870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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