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NPI 1053562140

NPI 1053562140 : OLIVIA POWERS WEATHERS D.C. : NEW LONDON, NH

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General NPI Number Information
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    NPI Number           |    1053562140
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    Entity Type          |    Individual 
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    Provider Name        |    OLIVIA POWERS WEATHERS D.C.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/07/2008
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    Last Update Date     |    04/24/2015
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Provider Practice Location Address
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    Address Line         |    71 PLEASANT STREET 
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    City                 |    NEW LONDON
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    State                |    NH
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    Zip                  |    03257
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    Country              |    US
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    Telephone            |    603-526-6522
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2386 ROUTE 4A 
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    City                 |    SPRINGFIELD
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    State                |    NH
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    Zip                  |    03284-2307
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    842-0509
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    License Number State |    NH
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