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General NPI Number Information
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NPI Number | 1235288440
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Entity Type | Organization
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Legal Business Name | PEARCE CHIROPRACTIC PC
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 03/16/2012
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Provider Practice Location Address
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Address Line | 195 WATER ST
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City | EXETER
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State | NH
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Zip | 03833-2453
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Country | US
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Telephone | 603-772-5631
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Fax | 603-778-1783
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Provider Business Mailing Address
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Address Line | 195 WATER ST
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City | EXETER
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State | NH
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Zip | 03833-2453
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Country | US
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Telephone | 603-772-5631
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Fax | 603-778-1783
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. G JOSEPH PEARCE JR.
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Credential | DC
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Telephone | 603-772-5631
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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 | 230-1095
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License Number State | NH
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