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General NPI Number Information
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NPI Number | 1598844300
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC HEALTH CENTER
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 3130 MEMORIAL HWY SUITE 100
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City | DALLAS
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State | PA
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Zip | 18612-9228
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Country | US
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Telephone | 570-675-3833
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Fax | 570-675-3225
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Provider Business Mailing Address
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Address Line | 3130 MEMORIAL HWY SUITE 100
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City | DALLAS
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State | PA
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Zip | 18612-9228
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Country | US
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Telephone | 570-675-3833
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Fax | 570-675-3225
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. GERALDINE M SPENCER
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Credential |
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Telephone | 570-675-3833
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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 | DC001312L
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License Number State | PA
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