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General NPI Number Information
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NPI Number | 1194074773
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Entity Type | Organization
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Legal Business Name | BEST CHIROPRACTIC SERVICES
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 274 SUSQUEHANNA AVE
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City | WYOMING
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State | PA
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Zip | 18644-2033
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Country | US
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Telephone | 570-709-5370
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Fax | 570-709-5372
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Provider Business Mailing Address
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Address Line | 274 SUSQUEHANNA AVE
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City | WYOMING
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State | PA
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Zip | 18644-2033
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Country | US
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Telephone | 570-709-5370
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Fax | 570-709-5372
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Authorized Official
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Title or Position | OWNER
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Name | DR. KELLEY M BEST
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Credential | DC
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Telephone | 570-709-5370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC006857L
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License Number State | PA
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