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General NPI Number Information
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NPI Number | 1629467428
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Entity Type | Organization
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Legal Business Name | FIRST STEP CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 01/16/2015
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Last Update Date | 05/04/2015
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Provider Practice Location Address
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Address Line | 1501 SULGRAVE AVE SUITE 302
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City | BALTIMORE
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State | MD
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Zip | 21209-3654
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Country | US
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Telephone | 443-869-3626
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Fax | 443-869-5548
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Provider Business Mailing Address
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Address Line | 244 MEDWICK GARTH E
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City | BALTIMORE
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State | MD
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Zip | 21228-2102
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Country | US
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Telephone | 609-790-4421
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAMELA JOYCE WOODWARD
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Credential | D.C.
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Telephone | 609-790-4421
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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 | S03756
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License Number State | MD
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