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General NPI Number Information
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NPI Number | 1437454584
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Entity Type | Organization
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Legal Business Name | ALIGN SPINE CHIROPRACTIC & WELLNESS
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Dates
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Enumeration Date | 01/21/2011
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 10 UNION ST STE 2C
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City | NATICK
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State | MA
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Zip | 01760-4759
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Country | US
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Telephone | 508-545-6789
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Fax |
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Provider Business Mailing Address
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Address Line | 10 UNION ST STE 2C
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City | NATICK
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State | MA
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Zip | 01760-4759
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Country | US
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Telephone | 508-545-6789
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. KEVIN ALEXANDER RHEAUME
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Credential | DC
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Telephone | 508-545-6789
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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 | 3311
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License Number State | MA
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