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General NPI Number Information
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NPI Number | 1003314337
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Entity Type | Individual
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Provider Name | DEBORAH L'ESTRANGE DC
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Gender | Female
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 02/01/2018
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Provider Practice Location Address
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Address Line | 233 E LANCASTER AVE STE 103
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City | ARDMORE
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State | PA
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Zip | 19003-2321
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Country | US
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Telephone | 215-266-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 354 N BOWMAN AVE
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City | MERION STATION
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State | PA
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Zip | 19066-1524
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DC006385L
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License Number State | PA
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