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General NPI Number Information
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NPI Number | 1578804092
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Entity Type | Organization
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Legal Business Name | NORTON FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 03/07/2013
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Last Update Date | 03/07/2013
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Provider Practice Location Address
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Address Line | 43 SCHOOL STREET SUITE E1
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City | STONINGTON
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State | ME
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Zip | 04681
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Country | US
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Telephone | 207-367-6333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 64 43 SCHOOL STREET
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City | STONINGTON
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State | ME
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Zip | 04681-0064
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Country | US
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Telephone | 207-367-6333
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Fax | 207-367-6335
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. JODY JAMES NORTON
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Credential | D.C.
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Telephone | 207-367-6333
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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 | CR999
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License Number State | ME
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