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General NPI Number Information
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NPI Number | 1598061079
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Entity Type | Organization
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Legal Business Name | STEPS TO WELLNESS CHIROPRACTIC
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Dates
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Enumeration Date | 02/01/2011
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Last Update Date | 02/01/2011
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Provider Practice Location Address
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Address Line | 43 CUMMINS HWY
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City | ROSLINDALE
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State | MA
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Zip | 02131-2523
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Country | US
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Telephone | 617-942-0255
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Fax |
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Provider Business Mailing Address
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Address Line | 43 CUMMINS HWY
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City | ROSLINDALE
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State | MA
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Zip | 02131-2523
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Country | US
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Telephone | 617-942-0255
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. MADELINE TEJADA
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Credential |
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Telephone | 617-970-2929
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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 | 3145
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License Number State | MA
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