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General NPI Number Information
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NPI Number | 1093990640
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Entity Type | Organization
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Legal Business Name | REACH YOUR PEAK CHIROPRACTIC CENTER PC
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 2940 SENNA DR SUITE B
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City | MATTHEWS
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State | NC
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Zip | 28105-6722
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Country | US
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Telephone | 704-847-4044
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Fax | 704-844-9404
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Provider Business Mailing Address
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Address Line | 2940 SENNA DR SUITE B
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City | MATTHEWS
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State | NC
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Zip | 28105-6722
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Country | US
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Telephone | 704-847-4044
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Fax | 704-844-9404
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH V MUSACCHIO
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Credential | DC
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Telephone | 704-847-4044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2187
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License Number State | NC
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