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General NPI Number Information
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NPI Number | 1457796807
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Entity Type | Individual
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Provider Name | NICHOLAS WENDELL D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/29/2013
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Last Update Date | 04/29/2013
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Provider Practice Location Address
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Address Line | 4500 FORT LOUDON RD
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City | MERCERSBURG
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State | PA
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Zip | 17236-9636
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Country | US
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Telephone | 717-328-2516
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Fax |
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Provider Business Mailing Address
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Address Line | 152 NEW ZEALAND RD
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City | EVERETT
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State | PA
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Zip | 15537-7007
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Country | US
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Telephone | 814-977-7469
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DC010727
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License Number State | PA
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