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General NPI Number Information
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NPI Number | 1104240480
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Entity Type | Organization
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Legal Business Name | POSTURE CORP.
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Dates
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Enumeration Date | 02/07/2014
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Last Update Date | 02/07/2014
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Provider Practice Location Address
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Address Line | 1032 BOULEVARD SUITE 1022
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City | WEST HARTFORD
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State | CT
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Zip | 06119-1801
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Country | US
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Telephone | 860-523-5465
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Fax | 860-232-3447
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Provider Business Mailing Address
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Address Line | 1032 BOULEVARD SUITE 1022
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City | WEST HARTFORD
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State | CT
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Zip | 06119-1801
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Country | US
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Telephone | 860-523-5465
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Fax | 860-232-3447
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER ROBERT CHASE
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Credential | DC
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Telephone | 860-523-5465
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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 | 001904
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License Number State | CT
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