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General NPI Number Information
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NPI Number | 1437476991
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Entity Type | Organization
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Legal Business Name | TANEYTOWN CHIROPRACTIC AND WELLNESS LLC
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Dates
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Enumeration Date | 04/23/2010
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Last Update Date | 02/28/2014
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Provider Practice Location Address
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Address Line | 721 HANOVER PIKE SUITE 149
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City | HAMPSTEAD
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State | MD
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Zip | 21074-2033
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Country | US
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Telephone | 410-374-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 721 HANOVER PIKE SUITE 149
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City | HAMPSTEAD
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State | MD
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Zip | 21074-2033
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Country | US
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Telephone | 410-374-9355
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | MICHAEL BARTEL
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Credential | D.C.
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Telephone | 410-374-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | S02174
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License Number State | MD
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