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General NPI Number Information
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NPI Number | 1649306572
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Entity Type | Organization
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Legal Business Name | MARCEAU CHIROPRACTIC & REHAB, LLC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 01/14/2016
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Provider Practice Location Address
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Address Line | 167 SWANSEA MALL DR
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City | SWANSEA
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State | MA
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Zip | 02777-4102
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Country | US
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Telephone | 508-675-7246
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Fax | 508-673-9073
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Provider Business Mailing Address
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Address Line | 167 SWANSEA MALL DR
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City | SWANSEA
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State | MA
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Zip | 02777-4102
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Country | US
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Telephone | 508-675-7246
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Fax | 508-673-9073
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Authorized Official
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Title or Position | CHIROPRACTOROWNER
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Name | DR. GEORGE A MARCEAU
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Credential | DC
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Telephone | 508-675-7246
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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 | CH2096
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License Number State | MA
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