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General NPI Number Information
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NPI Number | 1336388933
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Entity Type | Organization
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Legal Business Name | EASTERN SHORE CHIROPRACTIC CENTER, INC.
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Dates
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Enumeration Date | 02/05/2009
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Last Update Date | 07/30/2015
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Provider Practice Location Address
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Address Line | 8223 ELLIOTT RD SUITE 7
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City | EASTON
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State | MD
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Zip | 21601-2956
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Country | US
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Telephone | 410-770-8485
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Fax | 410-770-8499
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Provider Business Mailing Address
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Address Line | PO BOX 687
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City | EASTON
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State | MD
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Zip | 21601-8911
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Country | US
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Telephone | 410-770-8484
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Fax | 410-770-8499
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH J KRONISER
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Credential | DC
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Telephone | 410-770-8485
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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 |
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License Number State | MD
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