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General NPI Number Information
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NPI Number | 1508116898
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Entity Type | Organization
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Legal Business Name | HENEY CHIROPRACTIC NEUROLOGY CENTER, LLC
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Dates
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Enumeration Date | 09/13/2012
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Last Update Date | 09/13/2012
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Provider Practice Location Address
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Address Line | 46 COLUMBIA ROAD 8
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City | PEMBROKE
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State | MA
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Zip | 02359-1862
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Country | US
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Telephone | 781-826-8500
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Fax | 781-826-8585
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Provider Business Mailing Address
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Address Line | 46 COLUMBIA ROAD 8
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City | PEMBROKE
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State | MA
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Zip | 02359-1862
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. STEPHEN PATRICK HENEY
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Credential | D.C.
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Telephone | 781-826-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 1706
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License Number State | MA
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