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General NPI Number Information
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NPI Number | 1083036594
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Entity Type | Organization
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Legal Business Name | COMMUNITY CHIROPRACTIC OF YORK, LLC
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Dates
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Enumeration Date | 01/17/2014
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Last Update Date | 01/17/2014
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Provider Practice Location Address
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Address Line | 30 W 11TH AVE SUITE B
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City | YORK
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State | PA
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Zip | 17404-2007
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Country | US
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Telephone | 717-430-6028
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Fax | 717-430-6029
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Provider Business Mailing Address
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Address Line | 30 W 11TH AVE SUITE B
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City | YORK
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State | PA
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Zip | 17404-2007
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Country | US
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Telephone | 717-430-6028
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Fax | 717-430-6029
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. GREGORY S SOMMER
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Credential | DC
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Telephone | 717-430-6028
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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 | DC006634L
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License Number State | PA
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