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General NPI Number Information
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NPI Number | 1265562912
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Entity Type | Organization
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Legal Business Name | NAZAR CHIROPRACTIC FAMILY HEALTH CENTER PC
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4800 DERRY STREET
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City | HARRISBURG
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State | PA
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Zip | 17111-3440
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Country | US
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Telephone | 717-564-1550
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Fax | 717-561-1744
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Provider Business Mailing Address
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Address Line | 4800 DERRY STREET
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City | HARRISBURG
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State | PA
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Zip | 17111-3440
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Country | US
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Telephone | 717-564-1550
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Fax | 717-561-1744
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TANA M NAZAR
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Credential | DC
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Telephone | 717-564-1550
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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 | DC0006912L
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License Number State | PA
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