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General NPI Number Information
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NPI Number | 1558571141
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Entity Type | Organization
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Legal Business Name | LONG CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 411 HORSHAM RD
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City | HORSHAM
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State | PA
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Zip | 19044-2025
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Country | US
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Telephone | 215-443-9700
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Fax | 215-443-8440
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Provider Business Mailing Address
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Address Line | 411 HORSHAM RD
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City | HORSHAM
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State | PA
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Zip | 19044-2025
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Country | US
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Telephone | 215-443-9700
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Fax | 215-443-8440
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | DR. DAVID LONG
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Credential |
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Telephone | 215-443-9700
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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 | DC008820
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License Number State | PA
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