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General NPI Number Information
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NPI Number | 1083064729
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Entity Type | Organization
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Legal Business Name | COMPLETE FAMILY CHIROPRACTIC AND WELLNESS CENTER, P.C.
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Dates
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Enumeration Date | 06/14/2016
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Last Update Date | 06/14/2016
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Provider Practice Location Address
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Address Line | 2090 GREENTREE RD STE 100
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City | PITTSBURGH
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State | PA
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Zip | 15220-1468
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Country | US
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Telephone | 412-489-5812
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Fax | 412-489-6081
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Provider Business Mailing Address
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Address Line | 2090 GREENTREE RD STE 100
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City | PITTSBURGH
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State | PA
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Zip | 15220-1468
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Country | US
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Telephone | 412-489-5812
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Fax | 412-489-6081
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Authorized Official
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Title or Position | PRESIDENT
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Name | JASON ELLIOT BEAN
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Credential | D.C.
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Telephone | 412-489-5812
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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 | DC007529L
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License Number State | PA
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