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General NPI Number Information
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NPI Number | 1427365436
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Entity Type | Organization
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Legal Business Name | GILLMAN CHIROPRACTIC, PC
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Dates
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Enumeration Date | 09/13/2010
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 209 W CENTRAL ST STE 220
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City | NATICK
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State | MA
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Zip | 01760-3716
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Country | US
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Telephone | 508-650-1091
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Fax | 508-650-1563
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Provider Business Mailing Address
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Address Line | 209 W CENTRAL ST STE 220
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City | NATICK
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State | MA
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Zip | 01760-3716
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Country | US
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Telephone | 508-650-1091
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Fax | 508-650-1563
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. SCOTT F GILLMAN
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Credential | DC
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Telephone | 508-650-1091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 484
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License Number State | MA
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