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General NPI Number Information
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NPI Number | 1891658696
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Entity Type | Organization
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Legal Business Name | ADVANCED CHIROPRACTIC AND REHAB OFATCO LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 429 WHITE HORSE PIKE
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City | ATCO
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State | NJ
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Zip | 08004-2227
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Country | US
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Telephone | 856-753-1111
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Fax | 856-753-1454
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Provider Business Mailing Address
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Address Line | 429 WHITE HORSE PIKE
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City | ATCO
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State | NJ
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Zip | 08004-2227
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Country | US
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Telephone | 856-753-1111
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Fax | 856-753-1454
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JOSEPH JOHN CLEMENTS
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Credential | DC
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Telephone | 609-560-4088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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