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General NPI Number Information
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NPI Number | 1356733372
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Entity Type | Organization
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Legal Business Name | CHIRO HEALTH & REHAB, INC
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Dates
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Enumeration Date | 02/27/2015
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Last Update Date | 02/27/2015
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Provider Practice Location Address
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Address Line | 456 PARK AVE BASEMENT
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City | WORCESTER
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State | MA
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Zip | 01610-1227
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Country | US
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Telephone | 508-757-3838
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Fax | 508-757-3839
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Provider Business Mailing Address
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Address Line | 456 PARK AVE BASEMENT
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City | WORCESTER
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State | MA
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Zip | 01610-1227
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Country | US
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Telephone | 508-757-3838
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Fax | 508-757-3839
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HAI N. HUYNH
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Credential | D,C,
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Telephone | 508-757-3838
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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 | 2515
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License Number State | MA
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