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General NPI Number Information
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NPI Number | 1154697290
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Entity Type | Organization
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Legal Business Name | WELLNESS SOULTIONS CENTER OF AUBURN
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Dates
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Enumeration Date | 03/22/2012
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Last Update Date | 03/22/2012
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Provider Practice Location Address
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Address Line | 19 MIDSTATE DR SUITE 130
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City | AUBURN
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State | MA
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Zip | 01501-1858
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Country | US
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Telephone | 508-832-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 19 MIDSTATE DR SUITE 130
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City | AUBURN
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State | MA
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Zip | 01501-1858
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Country | US
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Telephone | 508-832-3311
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. FREDRICK CHASSMAN
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Credential | D.C.
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Telephone | 508-832-3311
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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 | 536
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License Number State | MA
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