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General NPI Number Information
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NPI Number | 1528544731
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Entity Type | Organization
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Legal Business Name | ALLEGIANCE CHIROPRACTIC LLC
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 08/16/2018
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Provider Practice Location Address
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Address Line | 2622H ANNAPOLIS RD
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City | SEVERN
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State | MD
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Zip | 21144
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Country | US
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Telephone | 717-599-6352
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Fax |
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Provider Business Mailing Address
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Address Line | 2622H ANNAPOLIS RD
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City | SEVERN
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State | MD
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Zip | 21144-1626
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Country | US
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Telephone | 717-599-6352
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM ARTHUR COX
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Credential | DC
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Telephone | 717-599-6352
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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 | S03589
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License Number State | MD
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