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General NPI Number Information
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NPI Number | 1528224748
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Entity Type | Organization
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Legal Business Name | OUELLETTE CHIROPRACTIC INC.
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Dates
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Enumeration Date | 08/07/2008
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Last Update Date | 08/07/2008
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Provider Practice Location Address
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Address Line | 49 COURT ST
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City | HOULTON
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State | ME
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Zip | 04730-2019
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Country | US
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Telephone | 207-521-0286
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Fax | 207-521-0284
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Provider Business Mailing Address
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Address Line | 49 COURT ST
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City | HOULTON
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State | ME
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Zip | 04730-2019
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Country | US
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Telephone | 207-521-0286
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Fax | 207-521-0284
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD DENIS OUELLETTE
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Credential | DC
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Telephone | 207-521-0286
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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 | CR0731
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License Number State | ME
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