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General NPI Number Information
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NPI Number | 1609035005
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Entity Type | Organization
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Legal Business Name | LABUDA CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 09/18/2015
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Provider Practice Location Address
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Address Line | 975 JEFFERSON AVE
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City | WASHINGTON
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State | PA
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Zip | 15301-3867
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Country | US
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Telephone | 724-222-2660
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Fax | 724-223-0933
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Provider Business Mailing Address
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Address Line | 975 JEFFERSON AVE
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City | WASHINGTON
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State | PA
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Zip | 15301-3867
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Country | US
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Telephone | 724-222-2660
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Fax | 724-223-0933
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. SEAN BERNARD LABUDA
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Credential | D.C.
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Telephone | 724-222-2660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number |
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License Number State |
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