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General NPI Number Information
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NPI Number | 1568647766
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Entity Type | Organization
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Legal Business Name | ROBERTSON CHIROPRACTIC PA
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 11/09/2015
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Provider Practice Location Address
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Address Line | 326 BELMONT AVE
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City | BELFAST
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State | ME
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Zip | 04915-7571
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Country | US
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Telephone | 207-338-2024
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Fax | 207-338-9900
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Provider Business Mailing Address
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Address Line | 326 BELMONT AVE
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City | BELFAST
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State | ME
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Zip | 04915-7571
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Country | US
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Telephone | 207-338-2024
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Fax | 207-338-9900
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. JANE LOUISE ROBERTSON
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Credential | D.C.
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Telephone | 207-338-2024
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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 | CR1042
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License Number State | ME
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