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General NPI Number Information
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NPI Number | 1063569705
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Entity Type | Organization
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Legal Business Name | MARY S. TRUEX, D.C.
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11 RUSSELL ST SUITE 1
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City | PLYMOUTH
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State | MA
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Zip | 02360-3995
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Country | US
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Telephone | 508-746-8701
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Fax | 508-746-8873
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Provider Business Mailing Address
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Address Line | PO BOX 1225
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City | PLYMOUTH
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State | MA
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Zip | 02362-1225
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Country | US
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Telephone | 508-746-8701
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Fax | 508-746-8873
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Authorized Official
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Title or Position | PROPRIETOR
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Name | DR. MARY S TRUEX
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Credential | D.C.
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Telephone | 508-746-8701
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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 | CH259
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License Number State | MA
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