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General NPI Number Information
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NPI Number | 1629318571
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Entity Type | Organization
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Legal Business Name | LIVE WELL CHASE HEALTH LLC
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Dates
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Enumeration Date | 02/28/2013
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Last Update Date | 05/16/2013
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Provider Practice Location Address
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Address Line | 211 S MAIN ST UNIT 302
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City | CAPE MAY COURT HOUSE
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State | NJ
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Zip | 08210-2264
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Country | US
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Telephone | 609-463-4590
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Fax | 609-463-4591
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Provider Business Mailing Address
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Address Line | 404 W HAND AVE UNIT 200
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City | WILDWOOD
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State | NJ
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Zip | 08260-1548
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Country | US
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Telephone | 609-602-8515
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Fax | 609-463-4591
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. MAISIE L HAHN
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Credential | DC
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Telephone | 609-463-4590
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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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