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General NPI Number Information
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NPI Number | 1245724426
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Entity Type | Organization
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Legal Business Name | ALTLAND CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 1345 STATE ROUTE 209
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City | MILLERSBURG
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State | PA
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Zip | 17061
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Country | US
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Telephone | 717-692-2349
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Fax |
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Provider Business Mailing Address
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Address Line | 1345 STATE ROUTE 209
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City | MILLERSBURG
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State | PA
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Zip | 17061-8208
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. HEATH ALTLAND
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Credential | DC
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Telephone | 717-692-2349
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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 | DC-009489
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License Number State | PA
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