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General NPI Number Information
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NPI Number | 1659458545
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Entity Type | Organization
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Legal Business Name | NARDONE CHIROPRACTIC,NORTH,PLLC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 04/20/2010
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Provider Practice Location Address
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Address Line | 117 B THREE SPRINGS DR
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City | WEIRTON
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State | WV
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Zip | 26062-3827
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Country | US
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Telephone | 304-723-2494
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Fax | 304-723-2301
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Provider Business Mailing Address
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Address Line | 126 MELINDA DR
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City | WINTERSVILLE
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State | OH
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Zip | 43953-4049
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Country | US
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Telephone | 304-639-9166
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | MR. MATTHEW A NARDONE
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Credential | DC
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Telephone | 304-723-2494
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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 | 765
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License Number State | WV
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