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General NPI Number Information
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NPI Number | 1609163435
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC FAMILY WELLNESS CENTER
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Dates
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Enumeration Date | 06/30/2011
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Last Update Date | 06/30/2011
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Provider Practice Location Address
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Address Line | 180 US ROUTE 1
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City | SCARBOROUGH
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State | ME
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Zip | 04074-9073
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Country | US
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Telephone | 207-883-5549
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Fax |
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Provider Business Mailing Address
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Address Line | 180 US ROUTE 1
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City | SCARBOROUGH
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State | ME
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Zip | 04074-9073
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Country | US
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Telephone | 207-883-5549
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARGARET PICKERING
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Credential |
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Telephone | 207-883-5549
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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 | CR845
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License Number State | ME
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