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General NPI Number Information
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NPI Number | 1992353627
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Entity Type | Organization
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Legal Business Name | PRIORITY CHIROPRACTIC & WELLNESS
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Dates
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Enumeration Date | 08/27/2019
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Last Update Date | 08/27/2019
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Provider Practice Location Address
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Address Line | 401 NEW RD STE 210
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City | LINWOOD
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State | NJ
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Zip | 08221-1200
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Country | US
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Telephone | 609-601-2191
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Fax | 609-241-0041
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Provider Business Mailing Address
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Address Line | 526 PACIFIC AVE APT 1608
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City | ATLANTIC CITY
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State | NJ
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Zip | 08401-7667
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Country | US
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Telephone | 609-601-2191
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Fax | 601-241-0041
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL ODONNELL JR.
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Credential | DC
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Telephone | 609-601-2191
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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 |
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License Number State |
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