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General NPI Number Information
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NPI Number | 1356706899
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Entity Type | Organization
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Legal Business Name | TODD D. COMER, DC
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Dates
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Enumeration Date | 12/29/2015
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Last Update Date | 02/18/2016
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Provider Practice Location Address
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Address Line | 1108 N BETHLEHEM PIKE BUILDING A
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City | LOWER GWYNEDD
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State | PA
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Zip | 19002-1423
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Country | US
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Telephone | 215-600-4345
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Fax |
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Provider Business Mailing Address
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Address Line | 1923 CORI LN
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City | BLUE BELL
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State | PA
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Zip | 19422-3805
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Country | US
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Telephone | 215-600-4345
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | TODD D COMER
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Credential | DC
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Telephone | 215-600-4345
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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 | DC007167L
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License Number State | PA
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