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General NPI Number Information
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NPI Number | 1316005010
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Entity Type | Organization
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Legal Business Name | DRS GOLD AND VERNON CHIROPRACTIC PA
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 03/19/2008
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Provider Practice Location Address
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Address Line | 5175 W WOODMILL DRIVE SUITE 7
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City | WILMINGTON
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State | DE
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Zip | 19808-4067
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Country | US
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Telephone | 302-998-1424
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Fax | 302-998-1526
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Provider Business Mailing Address
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Address Line | 5175 W WOODMILL DRIVE SUITE 7
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City | WILMINGTON
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State | DE
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Zip | 19808-4067
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Country | US
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Telephone | 302-998-1424
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Fax | 302-998-1526
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD MEYER GOLD
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Credential | D.C.
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Telephone | 302-998-1424
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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 | F1-0000208
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License Number State | DE
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