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General NPI Number Information
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NPI Number | 1083164602
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Entity Type | Organization
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Legal Business Name | EXETER CHIROPRACTIC AND REHABILITATION PLLC
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Dates
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Enumeration Date | 10/06/2016
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Last Update Date | 01/05/2017
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Provider Practice Location Address
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Address Line | 9 HAMPTON RD
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City | EXETER
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State | NH
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Zip | 03833-4807
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Country | US
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Telephone | 603-778-2919
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Fax | 603-778-9051
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Provider Business Mailing Address
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Address Line | 9 HAMPTON RD
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City | EXETER
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State | NH
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Zip | 03833-4807
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Country | US
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Telephone | 603-778-2919
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Fax | 603-778-9051
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | DR. RICHARD OWEN EMBERLEY
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Credential | D.C.
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Telephone | 603-778-2919
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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 | 998
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License Number State | NH
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