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NPI 1639371057

NPI 1639371057 : UNION CHIROPRACTIC, INC. : SUDBURY, MA

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General NPI Number Information
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    NPI Number           |    1639371057
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNION CHIROPRACTIC, INC. 
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Dates
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    Enumeration Date     |    06/05/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    323 BOSTON POST RD #2A
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    City                 |    SUDBURY
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    State                |    MA
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    Zip                  |    01776-3022
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    Country              |    US
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    Telephone            |    978-443-4344
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    Fax                  |    978-443-8383
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Provider Business Mailing Address
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    Address Line         |    323 BOSTON POST RD #2A
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    City                 |    SUDBURY
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    State                |    MA
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    Zip                  |    01776-3022
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    Country              |    US
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    Telephone            |    978-443-4344
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    Fax                  |    978-443-8383
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. RICHARD DONALD STONE JR.
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    Credential           |    D.C.
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    Telephone            |    978-443-4344
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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       |    122
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    License Number State |    MA
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