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General NPI Number Information
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NPI Number | 1023197043
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Entity Type | Organization
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Legal Business Name | DRACUT CHIROPRACTIC CENTER, P.C.
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1533 LAKEVIEW AVE SUITE2
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City | DRACUT
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State | MA
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Zip | 01826-3324
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Country | US
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Telephone | 978-453-2792
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Fax |
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Provider Business Mailing Address
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Address Line | 1533 LAKEVIEW AVE SUITE2
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City | DRACUT
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State | MA
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Zip | 01826-3324
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Country | US
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Telephone | 978-453-2792
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID GELINEAU
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Credential | D.C.
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Telephone | 978-453-2792
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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 | 2856
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License Number State | MA
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