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General NPI Number Information
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NPI Number | 1023268810
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Entity Type | Organization
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Legal Business Name | NATURAL HEALTH AND CHIROPRACTIC
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Dates
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Enumeration Date | 09/29/2008
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Last Update Date | 10/24/2008
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Provider Practice Location Address
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Address Line | 49 WELLES ST SUITE 207
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City | GLASTONBURY
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State | CT
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Zip | 06033-4205
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Country | US
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Telephone | 860-633-3525
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Fax | 860-633-7186
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Provider Business Mailing Address
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Address Line | 49 WELLES ST SUITE 207
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City | GLASTONBURY
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State | CT
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Zip | 06033-4205
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Country | US
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Telephone | 860-633-3525
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Fax | 860-633-7186
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Authorized Official
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Title or Position | CHIROPRACTIC PRACTITIONER/OWNER
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Name | JOSEPH J NEAL
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Credential | D.C
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Telephone | 860-633-3525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 000167
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 000167
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License Number State | CT
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