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General NPI Number Information
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NPI Number | 1497965123
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Entity Type | Organization
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Legal Business Name | CLARKSVILLE CHIROPRACTIC HEALTH CENTER, PA
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 09/24/2009
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Provider Practice Location Address
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Address Line | 6363 TEN OAKS RD
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1186
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Country | US
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Telephone | 301-854-3800
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Fax | 410-531-9814
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Provider Business Mailing Address
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Address Line | 6363 TEN OAKS RD
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1186
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Country | US
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Telephone | 301-854-3800
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Fax | 410-531-9814
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Authorized Official
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Title or Position | OWNER
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Name | DR. HAYDEE C MORRISON
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Credential | D.C.
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Telephone | 301-854-3800
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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 | S01428
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License Number State | MD
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