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General NPI Number Information
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NPI Number | 1174911556
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Entity Type | Organization
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Legal Business Name | DANVERS FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 01/07/2015
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Last Update Date | 04/13/2015
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Provider Practice Location Address
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Address Line | 130 SYLVAN ST UNIT 6
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City | DANVERS
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State | MA
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Zip | 01923-5505
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Country | US
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Telephone | 978-762-6200
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Fax | 978-762-6206
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Provider Business Mailing Address
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Address Line | 130 SYLVAN ST UNIT 6
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City | DANVERS
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State | MA
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Zip | 01923-5505
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Country | US
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Telephone | 978-762-6200
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Fax | 978-762-6206
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MR. JAY MEEHAN
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Credential |
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Telephone | 918-584-5086
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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 | 3426
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License Number State | MA
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