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General NPI Number Information
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NPI Number | 1972834356
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Entity Type | Organization
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Legal Business Name | MAZZA FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 01/25/2010
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Last Update Date | 01/25/2010
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Provider Practice Location Address
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Address Line | 364 S EGG HARBOR RD
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City | HAMMONTON
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State | NJ
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Zip | 08037-1485
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Country | US
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Telephone | 609-561-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 364 S EGG HARBOR RD
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City | HAMMONTON
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State | NJ
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Zip | 08037-1485
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Country | US
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Telephone | 609-561-4300
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARMEN MAZZA
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Credential |
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Telephone | 609-561-4300
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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 | 38MC00679800
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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 | 38MC00618200
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License Number State | NJ
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