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General NPI Number Information
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NPI Number | 1083761415
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Entity Type | Organization
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Legal Business Name | MOSHE MYEROWITZ DC PA
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | 1570 BROADWAY
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City | BANGOR
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State | ME
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Zip | 04401-2405
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Country | US
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Telephone | 207-947-3333
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Fax | 207-947-1008
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Provider Business Mailing Address
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Address Line | 1570 BROADWAY
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City | BANGOR
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State | ME
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Zip | 04401-2405
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Country | US
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Telephone | 207-947-3333
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Fax | 207-947-1008
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Authorized Official
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Title or Position | OWNER
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Name | DR. MOSHE MYEROWITZ
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Credential | DC
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Telephone | 207-947-3333
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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 | CR400
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License Number State | ME
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