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General NPI Number Information
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NPI Number | 1023071628
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Entity Type | Organization
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Legal Business Name | WELLCARE CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 475 W GOVERNOR RD SUITE 3
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City | HERSHEY
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State | PA
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Zip | 17033-2217
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Country | US
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Telephone | 717-533-0881
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Fax | 717-533-2155
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Provider Business Mailing Address
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Address Line | 475 W GOVERNOR RD SUITE 3
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City | HERSHEY
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State | PA
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Zip | 17033-2217
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Country | US
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Telephone | 717-533-0881
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Fax | 717-533-2155
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Authorized Official
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Title or Position | MANAGER OF OPERATIONS
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Name | LYNDA CRAWFORD
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Credential |
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Telephone | 717-533-0881
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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 | PA
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