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General NPI Number Information
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NPI Number | 1053553271
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Entity Type | Organization
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Legal Business Name | DR. NECOLE LARUE CHIROPRACTOR INC.
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Dates
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Enumeration Date | 04/02/2009
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Last Update Date | 04/02/2009
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Provider Practice Location Address
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Address Line | 500 E WASHINGTON ST UNIT 14
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City | NORTH ATTLEBORO
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State | MA
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Zip | 02760-6301
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Country | US
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Telephone | 508-643-7050
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Fax | 505-643-9619
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Provider Business Mailing Address
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Address Line | 500 E WASHINGTON ST UNIT 14
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City | NORTH ATTLEBORO
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State | MA
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Zip | 02760-6301
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Country | US
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Telephone | 508-643-7050
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Fax | 505-643-9619
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. NECOLE LILLIAN LARUE
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Credential | D.C.
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Telephone | 508-643-7050
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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 | 2159
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License Number State | MA
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