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General NPI Number Information
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NPI Number | 1316928005
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Entity Type | Individual
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Provider Name | RANI HEATHER WADDELL D.C.
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Gender | Female
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 07/22/2016
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Provider Practice Location Address
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Address Line | 456 E CUMBERLAND ST
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City | LEBANON
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State | PA
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Zip | 17042-8118
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Country | US
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Telephone | 717-926-1166
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Fax | 717-272-2326
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Provider Business Mailing Address
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Address Line | 545 FOX RIDGE LN
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City | LEBANON
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State | PA
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Zip | 17042-7691
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Country | US
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Telephone | 717-926-1166
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Fax | 717-272-2326
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DC009034
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License Number State | PA
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