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General NPI Number Information
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NPI Number | 1497061725
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Entity Type | Organization
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Legal Business Name | PATH OF LIFE CHIROPRACTIC HEALTH CENTER, P.L.L.C.
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 04/05/2012
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Provider Practice Location Address
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Address Line | 25 MERRIT PKWY STE 4
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City | NASHUA
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State | NH
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Zip | 03062-3078
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Country | US
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Telephone | 603-886-8300
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Fax | 603-886-8302
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Provider Business Mailing Address
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Address Line | 25 MERRIT PKWY STE 4
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City | NASHUA
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State | NH
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Zip | 03062-3078
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Country | US
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Telephone | 603-886-8300
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Fax | 603-886-8302
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Authorized Official
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Title or Position | OWNER / CHIROPRACTOR
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Name | DR. AMY L HAAS
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Credential | D.C.
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Telephone | 603-886-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 862-0310
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License Number State | NH
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