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General NPI Number Information
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NPI Number | 1215055959
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Entity Type | Organization
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Legal Business Name | NORTH READING CHIROPRACTIC ASSOCIATES, PC
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/02/2015
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Provider Practice Location Address
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Address Line | 21 MAIN ST SUITE 1C
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City | NORTH READING
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State | MA
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Zip | 01864-5001
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Country | US
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Telephone | 978-664-0610
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Fax | 978-664-0723
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Provider Business Mailing Address
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Address Line | 21 MAIN ST SUITE 1C
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City | NORTH READING
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State | MA
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Zip | 01864-5001
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Country | US
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Telephone | 978-664-0610
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Fax | 978-664-0723
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | DR. JEFFREY NEIL BERUBE
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Credential | DC
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Telephone | 978-664-0610
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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 | CH 2018
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License Number State | MA
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