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General NPI Number Information
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NPI Number | 1487650131
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Entity Type | Organization
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Legal Business Name | JRH CHIROPRACTIC SERVICES INC
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2620 MEMORIAL BLVD STE E
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City | CONNELLSVILLE
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State | PA
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Zip | 15425-1488
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Country | US
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Telephone | 724-626-8890
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Fax | 724-626-2983
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Provider Business Mailing Address
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Address Line | 2620 MEMORIAL BLVD STE E
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City | CONNELLSVILLE
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State | PA
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Zip | 15425-1488
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Country | US
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Telephone | 724-626-8890
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Fax | 724-626-2983
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES RAYMOND HURLEY
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Credential | DC
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Telephone | 724-626-8890
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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 | DC004033L
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License Number State | PA
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