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General NPI Number Information
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NPI Number | 1386157949
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Entity Type | Organization
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Legal Business Name | PENNSYLVANIA INJURY & WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 11/06/2017
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 1227 W LIBERTY ST STE 204
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City | ALLENTOWN
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State | PA
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Zip | 18102
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Country | US
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Telephone | 610-351-9555
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Fax |
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Provider Business Mailing Address
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Address Line | 1251 S CEDAR CREST BLVD STE 104
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City | ALLENTOWN
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State | PA
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Zip | 18103-6205
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Country | US
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Telephone | 610-351-9555
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | DR. DEREK M FRIEDMAN
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Credential | DC
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Telephone | 610-351-9555
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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 | DC011299
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License Number State | PA
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