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General NPI Number Information
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NPI Number | 1265489355
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Entity Type | Organization
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Legal Business Name | WELLNESS CENTER AT RITTENHOUSE CHIROPRACTIC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 105 E EVANS ST
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City | WEST CHESTER
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State | PA
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Zip | 19380-2676
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Country | US
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Telephone | 610-344-7383
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Fax | 610-344-7825
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Provider Business Mailing Address
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Address Line | 50 HOGAN PL
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City | COATESVILLE
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State | PA
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Zip | 19320-5901
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Country | US
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Telephone | 610-344-7383
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Fax | 610-344-7825
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. WILLIAM GAGLIARDI
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Credential | D.C.
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Telephone | 610-344-7383
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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 | DC005874L
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License Number State | PA
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