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General NPI Number Information
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NPI Number | 1023142163
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Entity Type | Organization
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Legal Business Name | TOWNE CHIROPRACTIC CLINIC P.C.
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 977 ROYAL AVE
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City | MEDFORD
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State | OR
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Zip | 97504-6140
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Country | US
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Telephone | 541-779-8331
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Fax |
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Provider Business Mailing Address
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Address Line | 977 ROYAL AVE
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City | MEDFORD
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State | OR
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Zip | 97504-6140
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Country | US
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Telephone | 541-779-8331
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. NEIL TOWNE
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Credential | DC
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Telephone | 541-779-8331
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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 | 271290
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License Number State | OR
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