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NPI Code Detail

MEDICARE: DR. KYLE R. EOPECHINO D.C.

MEDICARE: DR. KYLE R. EOPECHINO D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor38MC00639200NJ

General Provider Information

NPI Number : 1467496117
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYLE R. EOPECHINO D.C.
Provider Business Mailing Address
First Line : 50 MOUNT PROSPECT AVE
Second Line : SUITE 205
City : CLIFTON
State : NJ
Zip : 07013-1900
Country : US
Telephone Number : 973-777-2822
Fax Number : 973-472-1420
Provider Business Practice Location Address
First Line : 50 MOUNT PROSPECT AVE
Second Line : SUITE 205
City : CLIFTON
State : NJ
Zip : 07013-1900
Country : US
Telephone Number : 973-777-2822
Fax Number : 973-472-1420
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 04/13/2011

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