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General NPI Number Information
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NPI Number | 1992823116
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Entity Type | Organization
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Legal Business Name | CHIRO CARE CHIROPRACTIC AND REHABILITATION CENTER LLC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 06/05/2009
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Provider Practice Location Address
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Address Line | 2275 HIGHWAY 33 SUITE 304
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City | HAMILTON
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State | NJ
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Zip | 08690-1748
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Country | US
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Telephone | 609-587-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 2275 HIGHWAY 33 SUITE 304
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City | HAMILTON
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State | NJ
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Zip | 08690-1748
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Country | US
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Telephone | 609-587-9900
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Fax | 609-587-9978
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. JENNIFER L DEPALMA
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Credential | DC
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Telephone | 609-587-9900
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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 | 38MC00646200
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License Number State | NJ
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