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General NPI Number Information
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NPI Number | 1477889434
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Entity Type | Individual
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Provider Name | AMY L JURY D. C.
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Gender | Female
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Dates
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Enumeration Date | 10/27/2009
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Last Update Date | 10/04/2020
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Provider Practice Location Address
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Address Line | 400 FRANKLIN AVE STE 216
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-3164
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Country | US
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Telephone | 484-854-0003
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Fax |
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Provider Business Mailing Address
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Address Line | 145 1ST AVE
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-3760
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Country | US
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Telephone | 570-885-7116
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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 | DC010265
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License Number State | PA
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