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General NPI Number Information
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NPI Number | 1598621955
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Entity Type | Organization
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Legal Business Name | PETERSON CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 14010 ROUTE 8
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City | WATTSBURG
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State | PA
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Zip | 16442-2922
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Country | US
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Telephone | 814-739-2775
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Fax | 814-739-2606
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Provider Business Mailing Address
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Address Line | 14010 ROUTE 8
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City | WATTSBURG
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State | PA
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Zip | 16442-2922
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Country | US
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Telephone | 814-739-2775
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Fax | 814-739-2606
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. ROSS THOMAS PETERSON
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Credential | DC
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Telephone | 814-739-2775
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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 |
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License Number State |
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