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General NPI Number Information
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NPI Number | 1609889237
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Entity Type | Organization
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Legal Business Name | HARCHAK CHIROPRACTIC CLINIC LLC
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 1114 WALTON ST
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City | PHILIPSBURG
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State | PA
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Zip | 16866-2748
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Country | US
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Telephone | 814-342-3591
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Fax | 814-342-5815
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Provider Business Mailing Address
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Address Line | 1114 WALTON ST
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City | PHILIPSBURG
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State | PA
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Zip | 16866-2748
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Country | US
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Telephone | 814-342-3591
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Fax | 814-342-5815
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUSAN I. HARCHAK
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Credential | D.C.
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Telephone | 814-342-3591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | DC003451L
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License Number State | PA
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