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General NPI Number Information
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NPI Number | 1386890762
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Entity Type | Organization
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Legal Business Name | BACK IN MOTION CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 08/17/2008
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Last Update Date | 08/17/2008
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Provider Practice Location Address
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Address Line | 1404 THISTLE DR
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City | GREENSBURG
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State | PA
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Zip | 15601-8834
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Country | US
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Telephone | 724-516-3891
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Fax |
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Provider Business Mailing Address
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Address Line | 1404 THISTLE DR
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City | GREENSBURG
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State | PA
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Zip | 15601-8834
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Country | US
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Telephone | 724-516-3891
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRIAN R MORELAND
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Credential | D.C., D.A.C.R.B.
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Telephone | 724-516-3891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC009164
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License Number State | PA
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