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General NPI Number Information
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NPI Number | 1548487218
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Entity Type | Organization
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Legal Business Name | BACK MOUNTAIN NEURODIAGNOSTICS, PC
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 10/04/2007
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Provider Practice Location Address
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Address Line | 165 S MEMORIAL HWY
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City | TRUCKSVILLE
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State | PA
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Zip | 18708-1418
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Country | US
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Telephone | 570-696-4348
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Fax |
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Provider Business Mailing Address
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Address Line | 165 S MEMORIAL HWY
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City | TRUCKSVILLE
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State | PA
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Zip | 18708-1418
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Country | US
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Telephone | 570-696-4348
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARK EVAN MORRIS
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Credential |
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Telephone | 570-696-4348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | DC009260
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | DC007819L
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License Number State | PA
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