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General NPI Number Information
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NPI Number | 1588211056
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Entity Type | Organization
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Legal Business Name | BRIDGE TO WELLNESS CHIROPRACTIC LLC
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Dates
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Enumeration Date | 08/20/2019
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Last Update Date | 09/05/2019
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Provider Practice Location Address
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Address Line | 2700 W 21ST ST STE 8
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City | ERIE
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State | PA
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Zip | 16506-6916
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Country | US
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Telephone | 814-407-3013
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 W 21ST ST STE 8
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City | ERIE
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State | PA
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Zip | 16506-6916
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Country | US
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Telephone | 814-407-3013
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Fax | 883-981-0156
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSHUA CONRAD BRIGGS
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Credential | D.C.
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Telephone | 814-853-7842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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