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General NPI Number Information
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NPI Number | 1962918847
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Entity Type | Organization
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Legal Business Name | DR DANIELLE AGER DC
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Dates
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Enumeration Date | 12/14/2017
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Last Update Date | 02/01/2018
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Provider Practice Location Address
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Address Line | 1 INDIAN RD STE 5
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City | DENVILLE
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State | NJ
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Zip | 07834-2000
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Country | US
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Telephone | 973-625-5444
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Fax |
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Provider Business Mailing Address
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Address Line | 1 INDIAN RD STE 5
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City | DENVILLE
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State | NJ
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Zip | 07834-2000
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Country | US
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Telephone | 973-625-5444
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. DANIELLE AGER
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Credential | DC
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Telephone | 973-625-5444
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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 | 38MC00562800
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License Number State | NJ
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