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General NPI Number Information
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NPI Number | 1922463702
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Entity Type | Organization
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Legal Business Name | JOSEPH A. MIDILI D.C., INC.
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Dates
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Enumeration Date | 12/22/2015
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Last Update Date | 12/22/2015
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Provider Practice Location Address
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Address Line | 133 GANTTOWN RD
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-1676
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Country | US
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Telephone | 856-228-6366
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Fax | 856-228-0803
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Provider Business Mailing Address
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Address Line | 133 GANTTOWN RD
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-1676
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Country | US
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Telephone | 856-228-6366
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Fax | 856-228-0803
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Authorized Official
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Title or Position | DIRECTOR/CHIROPRACTOR
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Name | DR. JOSEPH AUSTIN MIDILI
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Credential | D.C.
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Telephone | 856-228-6366
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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 | 38MC00234600
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License Number State | NJ
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