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NPI 1093702482

NPI 1093702482 : DAVID HARLAN BJORK DC : BANGOR, ME

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General NPI Number Information
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    NPI Number           |    1093702482
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID HARLAN BJORK DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/30/2005
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    96 HARLOW ST SUITE 310
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    City                 |    BANGOR
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    State                |    ME
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    Zip                  |    04401-4925
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    Country              |    US
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    Telephone            |    207-262-3210
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    Fax                  |    207-433-7284
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Provider Business Mailing Address
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    Address Line         |    68 BLANCHARD RD 
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    City                 |    MONSON
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    State                |    ME
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    Zip                  |    04464-6600
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    Country              |    US
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    Telephone            |    207-997-3590
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    CR1301
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    License Number State |    ME
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