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General NPI Number Information
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NPI Number | 1144273319
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Entity Type | Individual
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Provider Name | HOWARD AARON BLOOM D.C., C.C.E.P.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 03/10/2011
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Provider Practice Location Address
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Address Line | 120 BUSTLETON PIKE
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City | CHURCHVILLE
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State | PA
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Zip | 18966-1508
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Country | US
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Telephone | 215-322-1300
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Fax | 215-322-5301
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Provider Business Mailing Address
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Address Line | 120 BUSTLETON PIKE
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City | CHURCHVILLE
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State | PA
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Zip | 18966-1508
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Country | US
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Telephone | 215-322-1300
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Fax | 215-322-5301
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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 | DC002091L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC002901L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | DC002901L
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License Number State | PA
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