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General NPI Number Information
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NPI Number | 1073578860
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Entity Type | Organization
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Legal Business Name | CHIRO DYNAMICS
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 20 NORTH HARRISON STREET
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City | YORK
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State | PA
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Zip | 17403
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Country | US
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Telephone | 717-848-5550
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Fax | 717-848-5551
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Provider Business Mailing Address
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Address Line | 715 OAKWOOD DRIVE
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City | RED LION
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State | PA
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Zip | 17356
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Country | US
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Telephone | 717-848-5550
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Fax | 717-848-5551
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY MICHAEL TARTAMOSA
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Credential | DC
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Telephone | 717-757-1212
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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 | DC6507L
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License Number State | PA
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