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General NPI Number Information
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NPI Number | 1275713406
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Entity Type | Organization
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Legal Business Name | DR. LYDELL NUNN CHIROPRACTIC
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 3414 E MARKET ST SUITE B
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City | YORK
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State | PA
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Zip | 17402-2621
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Country | US
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Telephone | 717-755-3899
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Fax |
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Provider Business Mailing Address
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Address Line | 3414 E MARKET ST SUITE B
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City | YORK
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State | PA
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Zip | 17402-2621
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Country | US
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Telephone | 717-755-3899
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LYDELL D. NUNN
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Credential | D.C.
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Telephone | 717-755-3899
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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 | DC009704
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License Number State | PA
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