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General NPI Number Information
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NPI Number | 1073681607
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Entity Type | Organization
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Legal Business Name | DUDDY CHIROPRACTIC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 301 S 22ND ST
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City | EASTON
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State | PA
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Zip | 18042-3811
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Country | US
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Telephone | 610-253-5332
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Fax | 610-253-5975
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Provider Business Mailing Address
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Address Line | 301 S 22ND ST
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City | EASTON
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State | PA
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Zip | 18042-3811
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Country | US
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Telephone | 610-253-5332
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Fax | 610-253-5975
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT THOMAS DUDDY
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Credential | D.C.
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Telephone | 610-253-5332
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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 | DC004349L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC007108L
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License Number State | PA
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