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General NPI Number Information
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NPI Number | 1366694036
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Entity Type | Organization
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Legal Business Name | BACK STRATEGIES, INC
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Dates
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Enumeration Date | 10/14/2008
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Last Update Date | 10/14/2008
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Provider Practice Location Address
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Address Line | 7707 OGONTZ AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19150-1818
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Country | US
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Telephone | 267-286-0934
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Fax |
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Provider Business Mailing Address
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Address Line | 37 E WYNNEWOOD RD 2ND FLOOR
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City | WYNNEWOOD
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State | PA
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Zip | 19096-1917
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Country | US
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Telephone | 215-658-2001
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. STEPHEN J VERNILLE
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Credential | DC
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Telephone | 610-658-2001
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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 | DC005676L
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License Number State | PA
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