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General NPI Number Information
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NPI Number | 1518101377
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Entity Type | Organization
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Legal Business Name | MANCHESTER CHIROPRACTIC & SPORTS INJURIES, PLLC
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 04/23/2009
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Provider Practice Location Address
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Address Line | 70 QUEEN CITY AVE
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City | MANCHESTER
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State | NH
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Zip | 03103-7120
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Country | US
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Telephone | 603-624-9480
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Fax | 603-647-2023
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Provider Business Mailing Address
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Address Line | 70 QUEEN CITY AVE
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City | MANCHESTER
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State | NH
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Zip | 03103-7120
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Country | US
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Telephone | 603-624-9480
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Fax | 603-647-2023
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Authorized Official
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Title or Position | DOCTOR/MEMBER
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Name | DR. JOSEPH ANDREW REINFURT
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Credential | DABCO
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Telephone | 603-624-9480
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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 | 14411540584A
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 14411540584A
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License Number State | NH
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