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General NPI Number Information
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NPI Number | 1205637980
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Entity Type | Organization
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Legal Business Name | LIFETIME CHIROPRACTIC AND WELLNESS PLLC
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 662 STANLEY RD STE 2
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City | WINTHROP
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State | ME
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Zip | 04364-3348
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Country | US
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Telephone | 207-395-5052
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Fax | 207-395-5077
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Provider Business Mailing Address
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Address Line | 662 STANLEY RD STE 2
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City | WINTHROP
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State | ME
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Zip | 04364-3348
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Country | US
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Telephone | 207-395-5052
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Fax | 207-395-5077
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Authorized Official
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Title or Position | OFFICE MANAGER/OWNER
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Name | CAROLINE CHRISTIANSON
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Credential | CNS
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Telephone | 207-395-5052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number |
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License Number State |
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