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General NPI Number Information
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NPI Number | 1548352255
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Entity Type | Organization
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Legal Business Name | WELLINGTON CHIROPRACTIC PA
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 09/13/2007
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Provider Practice Location Address
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Address Line | 610 OLD WELLINGTON RD
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City | MANCHESTER
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State | NH
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Zip | 03104-4112
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Country | US
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Telephone | 603-668-0511
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Fax | 603-641-5368
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Provider Business Mailing Address
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Address Line | 610 OLD WELLINGTON RD
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City | MANCHESTER
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State | NH
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Zip | 03104-4112
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Country | US
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Telephone | 603-668-0511
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Fax | 603-641-5368
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD ANTHONY BARONE SR.
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Credential | DC
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Telephone | 603-668-0511
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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 | 514A
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License Number State | NH
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