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General NPI Number Information
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NPI Number | 1578877635
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Entity Type | Organization
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Legal Business Name | DONALDSON CHIROPRACTIC
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Dates
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Enumeration Date | 08/01/2010
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Last Update Date | 08/01/2010
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Provider Practice Location Address
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Address Line | 401 E MURPHY AVE
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City | CONNELLSVILLE
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State | PA
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Zip | 15425-2724
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Country | US
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Telephone | 724-322-6190
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Fax |
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Provider Business Mailing Address
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Address Line | 909 PLEASANT VALLEY RD
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City | MOUNT PLEASANT
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State | PA
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Zip | 15666-2302
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Country | US
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Telephone | 724-322-6190
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GREGORY ALAN DONALDSON
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Credential | D.C.
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Telephone | 724-322-6190
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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 | DC010242
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License Number State | PA
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