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General NPI Number Information
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NPI Number | 1548884232
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Entity Type | Organization
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Legal Business Name | ABERDEEN FAMILY CHIROPRACTIC CENTER LLC
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Dates
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Enumeration Date | 05/29/2020
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Last Update Date | 05/29/2020
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Provider Practice Location Address
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Address Line | 110 N PHILADELPHIA BLVD
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City | ABERDEEN
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State | MD
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Zip | 21001-2513
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Country | US
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Telephone | 410-273-5900
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Fax | 410-273-5972
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Provider Business Mailing Address
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Address Line | 110 N PHILADELPHIA BLVD
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City | ABERDEEN
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State | MD
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Zip | 21001-2513
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Country | US
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Telephone | 410-273-5900
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Fax | 410-273-5972
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | JENNIFER JEAN BADDING-BENTON
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Credential | DC
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Telephone | 410-273-5900
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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 |
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License Number State |
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