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General NPI Number Information
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NPI Number | 1932686185
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Entity Type | Organization
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Legal Business Name | WEYL CHIROPRACTIC
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Dates
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Enumeration Date | 07/20/2018
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Last Update Date | 07/20/2018
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Provider Practice Location Address
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Address Line | 10 GARBER SQ STE 1
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3129
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Country | US
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Telephone | 201-652-7888
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 629
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City | FRANKLIN LAKES
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State | NJ
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Zip | 07417-0629
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Country | US
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Telephone | 201-847-8079
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Fax | 201-847-0059
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN WEYL
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Credential | DC
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Telephone | 201-847-8079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 25MZ00011200
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License Number State | NJ
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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 | 38MC00305500
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License Number State | NJ
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