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General NPI Number Information
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NPI Number | 1427080183
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Entity Type | Individual
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Provider Name | DUSTIN A SLOCUM DC
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 02/10/2009
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Provider Practice Location Address
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Address Line | 26 BATH RD SUITE #1
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City | BRUNSWICK
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State | ME
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Zip | 04011-2604
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Country | US
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Telephone | 207-725-4222
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Fax | 207-319-7046
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Provider Business Mailing Address
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Address Line | 26 BATH RD SUITE #1
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City | BRUNSWICK
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State | ME
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Zip | 04011-2604
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Country | US
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Telephone | 207-725-4222
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Fax | 207-319-7046
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CR815
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License Number State | ME
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