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General NPI Number Information
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NPI Number | 1265739809
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Entity Type | Organization
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Legal Business Name | HARPERS FERRY CHIROPRACTIC AND NUTRITION, PLLC
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Dates
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Enumeration Date | 02/17/2011
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Last Update Date | 08/14/2013
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Provider Practice Location Address
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Address Line | 43 PANAMA STREET
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City | HARPERS FERRY
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State | WV
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Zip | 25425
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Country | US
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Telephone | 304-535-3009
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Fax | 888-315-4341
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Provider Business Mailing Address
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Address Line | PO BOX 1307
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City | HARPERS FERRY
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State | WV
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Zip | 25425-1307
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Country | US
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Telephone | 304-535-3009
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Fax | 888-315-4341
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Authorized Official
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Title or Position | OWNER
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Name | ALISSA BROOKE HARRIS
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Credential | D.C.
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Telephone | 304-535-3009
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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 | 863
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License Number State | WV
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