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General NPI Number Information
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NPI Number | 1477825602
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Entity Type | Organization
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Legal Business Name | ALLEN CHIROPRACTIC CENTER INC
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Dates
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Enumeration Date | 02/03/2012
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Last Update Date | 02/03/2012
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Provider Practice Location Address
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Address Line | 444 E PENN ST
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City | BEDFORD
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State | PA
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Zip | 15522-1435
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Country | US
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Telephone | 814-623-9619
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Fax | 814-623-1451
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Provider Business Mailing Address
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Address Line | 444 E PENN ST
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City | BEDFORD
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State | PA
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Zip | 15522-1435
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Country | US
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Telephone | 814-623-9619
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Fax | 814-623-1451
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Authorized Official
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Title or Position | PRESIDENT/CHIROPRACTOR
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Name | THOMAS J ALLEN
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Credential | D.C,
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Telephone | 814-623-9619
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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 | DC001602L
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License Number State | PA
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