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General NPI Number Information
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NPI Number | 1013636745
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Entity Type | Organization
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Legal Business Name | PAIN 2 PERFORMANCE LLC
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Dates
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Enumeration Date | 08/25/2022
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Last Update Date | 08/25/2022
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Provider Practice Location Address
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Address Line | 5930 HAMILTON BLVD STE 1A
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City | ALLENTOWN
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State | PA
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Zip | 18106-9654
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Country | US
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Telephone | 484-354-1383
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Fax | 267-573-3324
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Provider Business Mailing Address
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Address Line | 5930 HAMILTON BLVD STE 1A
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City | ALLENTOWN
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State | PA
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Zip | 18106-9654
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Country | US
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Telephone | 484-354-1383
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. JESSE CHRISTOPHER DUGAN
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Credential | DC
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Telephone | 484-342-1383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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