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General NPI Number Information
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NPI Number | 1043875206
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Entity Type | Organization
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Legal Business Name | TRIUNE CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 05/03/2019
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Last Update Date | 05/03/2019
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Provider Practice Location Address
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Address Line | 1 ASH ST
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City | HOPKINTON
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State | MA
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Zip | 01748-1886
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Country | US
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Telephone | 508-254-9142
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Fax |
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Provider Business Mailing Address
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Address Line | 2 CHESTNUT ST
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City | HOPKINTON
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State | MA
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Zip | 01748-2506
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Country | US
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Telephone | 508-254-9142
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. CHRISTIAN CARROLL
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Credential | DC
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Telephone | 508-254-9142
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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 |
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