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General NPI Number Information
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NPI Number | 1902943871
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Entity Type | Organization
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Legal Business Name | D & A CHIROPRACTIC CENTER, LLC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 136 RIDGE RD
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City | LYNDHURST
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State | NJ
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Zip | 07071-1269
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Country | US
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Telephone | 201-531-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 348 ROOSEVELT AVE
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City | HASBROUCK HEIGHTS
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State | NJ
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Zip | 07604-1614
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Country | US
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Telephone | 201-531-9500
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Fax |
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Authorized Official
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Title or Position | SOLE-PROPRIETOR
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Name | DR. DAVID JOHN DEPALMA
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Credential | D.C.
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Telephone | 201-531-9500
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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 | 38MC00623900
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License Number State | NJ
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