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General NPI Number Information
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NPI Number | 1255585188
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Entity Type | Organization
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Legal Business Name | MYERS FAMILY CHIROPRACTIC CENTER, LLC
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Dates
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Enumeration Date | 11/05/2008
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Last Update Date | 10/12/2016
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Provider Practice Location Address
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Address Line | 8645 PEACH ST
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City | ERIE
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State | PA
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Zip | 16509-4722
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Country | US
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Telephone | 814-866-7041
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Fax | 814-866-6615
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Provider Business Mailing Address
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Address Line | 8645 PEACH ST
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City | ERIE
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State | PA
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Zip | 16509-4722
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Country | US
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Telephone | 814-866-7041
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Fax | 814-866-6615
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Authorized Official
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Title or Position | OWNER/DC
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Name | DR. BRIAN KEITH MYERS
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Credential | DC
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Telephone | 814-866-7041
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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 | DC009630
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC006633L
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License Number State | PA
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