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General NPI Number Information
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NPI Number | 1487771044
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND CHIROPRACTIC HEALTH CLINIC, INC.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 192 LINCOLN ST
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City | WORCESTER
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State | MA
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Zip | 01605-2501
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Country | US
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Telephone | 508-795-1555
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Fax | 508-755-4464
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Provider Business Mailing Address
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Address Line | 192 LINCOLN ST
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City | WORCESTER
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State | MA
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Zip | 01605-2501
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Country | US
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Telephone | 508-795-1555
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Fax | 508-755-4464
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Authorized Official
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Title or Position | OWNER
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Name | DR. FREDRICK H. CHASSMAN
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Credential | D.C.
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Telephone | 508-795-1555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 1492
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License Number State | MA
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