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General NPI Number Information
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NPI Number | 1275711848
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Entity Type | Organization
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Legal Business Name | NATURAL HEALTH CHIROPRACTIC PC
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 113 E FRONT ST
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City | NOME
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State | AK
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Zip | 99762-9800
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Country | US
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Telephone | 907-443-7477
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Fax | 907-447-7487
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Provider Business Mailing Address
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Address Line | PO BOX 83698
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City | FAIRBANKS
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State | AK
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Zip | 99708-3698
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Country | US
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Telephone | 907-458-8633
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Fax | 907-458-8622
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Authorized Official
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Title or Position | OWNER CEO
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Name | DR. NORMAN TODD LOVELL
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Credential | DC
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Telephone | 907-458-8633
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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 | 902254
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License Number State | AK
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