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General NPI Number Information
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NPI Number | 1205929676
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Entity Type | Organization
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Legal Business Name | WESTSIDE CHIROPRACTIC LLC
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 557 PROSPECT AVE
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City | WEST HARTFORD
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State | CT
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Zip | 06105-2922
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Country | US
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Telephone | 860-523-5833
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Fax | 860-523-7407
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Provider Business Mailing Address
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Address Line | 557 PROSPECT AVENUE
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City | WEST HARTFORD
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State | CT
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Zip | 06105-2922
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Country | US
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Telephone | 860-523-5833
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Fax | 860-523-7407
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | SEAN MURPHY
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Credential |
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Telephone | 207-347-2205
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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 |
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License Number State |
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