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General NPI Number Information
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NPI Number | 1982843082
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Entity Type | Organization
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Legal Business Name | DANIEL FAMILY CHIORPRACTIC PC
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Dates
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Enumeration Date | 02/12/2009
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Last Update Date | 02/27/2009
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Provider Practice Location Address
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Address Line | 65 N FRANKLIN TPKE
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City | RAMSEY
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State | NJ
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Zip | 07446-2005
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Country | US
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Telephone | 201-934-1166
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Fax |
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Provider Business Mailing Address
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Address Line | 65 N FRANKLIN TPKE
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City | RAMSEY
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State | NJ
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Zip | 07446-2005
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Country | US
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Telephone | 201-934-1166
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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. MARC DANIEL
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Credential | DC
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Telephone | 201-934-1166
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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 | 38MC00220400
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License Number State | NJ
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