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General NPI Number Information
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NPI Number | 1407035181
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Entity Type | Organization
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Legal Business Name | NATIONAL CHIROPRACTIC HEALTH & SPORTS REHABILITATION, INC
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 5513 TWIN KNOLLS RD STE 219
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City | COLUMBIA
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State | MD
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Zip | 21045-3264
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Country | US
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Telephone | 410-844-1577
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Fax | 410-740-1117
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Provider Business Mailing Address
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Address Line | 8436 ROBERTS RD
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City | ELLICOTT CITY
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State | MD
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Zip | 21043-6011
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Country | US
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Telephone | 410-313-9793
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Fax | 410-740-1117
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT H. LAWRENCE
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Credential | DC
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Telephone | 410-844-1577
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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 |
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License Number State | MD
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