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General NPI Number Information
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NPI Number | 1184873168
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Entity Type | Organization
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Legal Business Name | GREENSFELDER CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 09/15/2008
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 1350 BLAIR DR STE HH
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City | ODENTON
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State | MD
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Zip | 21113-1333
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Country | US
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Telephone | 410-674-8605
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Fax | 410-674-8608
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Provider Business Mailing Address
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Address Line | 1350 BLAIR DR STE HH
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City | ODENTON
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State | MD
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Zip | 21113-1333
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Country | US
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Telephone | 410-674-8605
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Fax | 410-674-8608
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. JOHN R GREENSFELDER
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Credential | D.C.
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Telephone | 410-674-8605
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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 | S01820
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License Number State | MD
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