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General NPI Number Information
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NPI Number | 1518987023
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL FAMILY CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 05/05/2014
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Provider Practice Location Address
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Address Line | 296 HOFFMANSVILLE RAOD
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City | SASSAMANSVILLE
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State | PA
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Zip | 19472
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Country | US
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Telephone | 610-754-6577
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Fax |
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Provider Business Mailing Address
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Address Line | 296 HOFFMANSVILLE RD
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City | BECHTELSVILLE
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State | PA
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Zip | 19505-9517
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Country | US
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Telephone | 610-754-6577
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. CHARLES A. GIORDANO
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Credential | D.C.
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Telephone | 610-754-6577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | DC-004999L
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License Number State | PA
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