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General NPI Number Information
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NPI Number | 1932647997
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Entity Type | Organization
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Legal Business Name | DIPASQUALE CHIROPRACTIC
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Dates
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Enumeration Date | 02/09/2017
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 898 GREEN ST SUITE 2
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City | ISELIN
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State | NJ
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Zip | 08830-2121
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Country | US
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Telephone | 848-203-9185
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Fax |
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Provider Business Mailing Address
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Address Line | 898 GREEN ST SUITE 2
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City | ISELIN
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State | NJ
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Zip | 08830-2121
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Country | US
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Telephone | 848-203-9185
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANK RALPH DI PASQUALE
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Credential | D.C.
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Telephone | 848-203-9185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 38MC00535600
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License Number State | NJ
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