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General NPI Number Information
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NPI Number | 1427458439
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Entity Type | Organization
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Legal Business Name | ROSS GET HEALTHY CHIROPRACTIC, P.A.
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Dates
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Enumeration Date | 08/27/2014
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Last Update Date | 11/19/2014
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Provider Practice Location Address
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Address Line | 5239 W WOODMILL DR SUITE 49
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City | WILMINGTON
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State | DE
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Zip | 19808-4068
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Country | US
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Telephone | 302-407-5571
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Fax |
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Provider Business Mailing Address
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Address Line | 5239 W WOODMILL DR SUITE 49
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City | WILMINGTON
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State | DE
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Zip | 19808-4068
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Country | US
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Telephone | 302-407-5571
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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. JACOB ROSS
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Credential | D.C.
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Telephone | 610-563-5083
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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 | F10000906
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License Number State | DE
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