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General NPI Number Information
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NPI Number | 1518137447
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Entity Type | Organization
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Legal Business Name | CARDEA
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 390 PORTSMOUTH AVE
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City | GREENLAND
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State | NH
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Zip | 03840-2222
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Country | US
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Telephone | 603-433-2023
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Fax | 866-603-1127
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Provider Business Mailing Address
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Address Line | 25 GREAT BAY DR E
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City | GREENLAND
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State | NH
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Zip | 03840-2143
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Country | US
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Telephone | 603-433-2023
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Fax | 866-603-1127
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Authorized Official
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Title or Position | PRINCIPAL DOCTOR
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Name | DR. KIMBERLY HIGNEY
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Credential | D.C.
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Telephone | 603-433-2023
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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 | 719-0404
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License Number State | NH
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