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General NPI Number Information
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NPI Number | 1598024408
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC WELLNESS ASSOCIATES LLC
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Dates
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Enumeration Date | 05/11/2012
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Last Update Date | 10/19/2012
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Provider Practice Location Address
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Address Line | 1313 DEKALB ST
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City | NORRISTOWN
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State | PA
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Zip | 19401-3403
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Country | US
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Telephone | 610-272-2272
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Fax | 610-279-1230
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Provider Business Mailing Address
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Address Line | 1313 DEKALB ST
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City | NORRISTOWN
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State | PA
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Zip | 19401-3403
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Country | US
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Telephone | 610-272-2272
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Fax | 610-279-1230
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Authorized Official
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Title or Position | CO-OWNER/CHIROPRACTOR
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Name | DR. ANTHONY F BERARDI III
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Credential | D.C.
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Telephone | 610-272-2272
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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 | DC010475
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License Number State | PA
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