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General NPI Number Information
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NPI Number | 1609560309
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Entity Type | Organization
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Legal Business Name | NASH CHIROPRACTIC HEALTHCARE
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Dates
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Enumeration Date | 06/06/2023
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 3201 PEACH ST
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City | ERIE
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State | PA
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Zip | 16508-2735
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Country | US
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Telephone | 814-456-1600
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Fax | 814-455-8295
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Provider Business Mailing Address
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Address Line | 3201 PEACH ST
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City | ERIE
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State | PA
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Zip | 16508-2735
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Country | US
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Telephone | 814-456-1600
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Fax | 814-455-8295
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Authorized Official
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Title or Position | OWNER/SOLE PROPRIETOR
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Name | DR. TREVOR P NASH
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Credential | DC
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Telephone | 814-456-1600
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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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