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General NPI Number Information
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NPI Number | 1073980751
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Entity Type | Organization
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Legal Business Name | JAMISON DC INC
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Dates
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Enumeration Date | 08/28/2015
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Last Update Date | 08/28/2015
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Provider Practice Location Address
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Address Line | 1005 PENINSULA DR
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City | ERIE
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State | PA
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Zip | 16505-4159
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Country | US
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Telephone | 814-835-0911
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Fax | 814-835-0623
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Provider Business Mailing Address
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Address Line | 1005 PENINSULA DR
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City | ERIE
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State | PA
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Zip | 16505-4159
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Country | US
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Telephone | 814-835-0911
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Fax | 814-835-0623
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Authorized Official
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Title or Position | PRESIDENT
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Name | JACK JAMISON
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Credential |
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Telephone | 814-835-0911
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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 | DC010197
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License Number State | PA
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