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General NPI Number Information
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NPI Number | 1023064425
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Entity Type | Organization
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Legal Business Name | COTTMAN CHIROPRACTIC CENTER P.C.
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 03/10/2010
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Provider Practice Location Address
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Address Line | 3002 HOLME AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19136-1907
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Country | US
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Telephone | 215-708-0657
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Fax | 215-708-0659
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Provider Business Mailing Address
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Address Line | 3002 HOLME AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19136-1907
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Country | US
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Telephone | 215-708-0657
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Fax | 215-708-0659
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM B KARABINOS
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Credential | D.C.
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Telephone | 215-708-0657
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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 | DC002400L
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License Number State | PA
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