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General NPI Number Information
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NPI Number | 1043416969
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Entity Type | Organization
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Legal Business Name | LOW MILLS CHIROPRACTIC AND REHAB CENTER
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1141 WASHINGTON STREET 2019 BAY ROAD
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City | DORCHESTER
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State | MA
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Zip | 02124
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Country | US
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Telephone | 617-201-0321
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Fax | 617-296-2900
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Provider Business Mailing Address
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Address Line | 2019 BAY RD
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City | SHARON
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State | MA
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Zip | 02067-3033
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Country | US
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Telephone | 617-201-0321
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Fax | 617-296-2900
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Authorized Official
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Title or Position | CEO
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Name | MR. LORVERST JEAN JR.
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Credential |
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Telephone | 617-296-7200
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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 | 270764
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License Number State | MA
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