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General NPI Number Information
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NPI Number | 1972668465
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Entity Type | Organization
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Legal Business Name | TOUCH OF HEALTH CHIROPRACTIC, L.L.C.
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 180 WHITE RD SUITE 201
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City | LITTLE SILVER
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State | NJ
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Zip | 07739-1166
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Country | US
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Telephone | 732-530-1525
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Fax | 732-530-1527
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Provider Business Mailing Address
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Address Line | 180 WHITE RD SUITE 201
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City | LITTLE SILVER
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State | NJ
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Zip | 07739-1166
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Country | US
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Telephone | 732-530-1525
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Fax | 732-530-1527
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | CRAIG MITCHELL LEAVITT
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Credential | D.C.
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Telephone | 732-530-1525
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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 | 38MC00481400
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License Number State | NJ
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