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General NPI Number Information
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NPI Number | 1013678903
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Entity Type | Organization
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Legal Business Name | COMPLETE HEALTH 180 PLLC
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Dates
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Enumeration Date | 01/04/2022
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 164 MAIN ST STE 3
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City | RICHMOND
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State | ME
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Zip | 04357-4036
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Country | US
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Telephone | 207-737-2482
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Fax | 207-737-2484
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Provider Business Mailing Address
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Address Line | 3 HOMESTEAD WAY STE 1
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City | RICHMOND
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State | ME
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Zip | 04357-3728
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Country | US
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Telephone | 207-737-2482
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Fax | 207-737-2484
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Authorized Official
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Title or Position | OWNER
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Name | DR. CRYSTAL T ZAGWYN-HARRISON
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Credential | DC DABFP
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Telephone | 207-737-2482
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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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