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General NPI Number Information
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NPI Number | 1639469422
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Entity Type | Organization
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Legal Business Name | ALIGN WITH WELLNESS, LLC
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | 40 FOREST FALLS DR
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City | YARMOUTH
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State | ME
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Zip | 04096-6905
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Country | US
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Telephone | 207-512-2919
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Fax | 207-591-4384
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Provider Business Mailing Address
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Address Line | 40 FOREST FALLS DR
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City | YARMOUTH
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State | ME
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Zip | 04096-6905
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Country | US
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Telephone | 207-512-2919
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Fax | 207-591-4384
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. ALLYSON ABBOTT DAFOE
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Credential | D.C.
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Telephone | 207-512-2919
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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 | CR2001
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License Number State | ME
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