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General NPI Number Information
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NPI Number | 1457740177
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Entity Type | Organization
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Legal Business Name | CENCI CHIROPRACTIC
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Dates
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Enumeration Date | 01/19/2015
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 306 W HARFORD ST
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City | MILFORD
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State | PA
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Zip | 18337-1107
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Country | US
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Telephone | 570-409-4747
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Fax | 570-409-4749
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Provider Business Mailing Address
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Address Line | 306 W HARFORD ST
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City | MILFORD
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State | PA
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Zip | 18337-1107
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Country | US
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Telephone | 570-409-4747
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Fax | 570-409-4749
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. DAVID THOMAS CENCI
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Credential | D.C., M.S.
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Telephone | 570-409-4747
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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 | DC010851
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License Number State | PA
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