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General NPI Number Information
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NPI Number | 1003971961
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Entity Type | Organization
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Legal Business Name | DAL, INC
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 06/19/2015
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Provider Practice Location Address
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Address Line | 677 W MAIN ST
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City | HYANNIS
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State | MA
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Zip | 02601-3493
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Country | US
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Telephone | 508-790-0606
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Fax | 508-790-0808
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Provider Business Mailing Address
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Address Line | PO BOX 563
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City | HYANNIS PORT
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State | MA
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Zip | 02647-0563
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Country | US
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Telephone | 508-790-0606
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Fax | 508-790-0808
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Authorized Official
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Title or Position | OWNER
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Name | DEBORAH LEVEEN
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Credential | DC
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Telephone | 508-790-0606
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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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