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General NPI Number Information
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NPI Number | 1659654499
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC & WELLNESS CENTER OF MILFORD, L.L.C.
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Dates
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Enumeration Date | 09/27/2011
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Last Update Date | 10/19/2011
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Provider Practice Location Address
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Address Line | 58 RIVER ST
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City | MILFORD
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State | CT
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Zip | 06460-3381
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Country | US
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Telephone | 203-713-8600
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Fax | 203-713-8601
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Provider Business Mailing Address
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Address Line | 58 RIVER ST
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City | MILFORD
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State | CT
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Zip | 06460-3381
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Country | US
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Telephone | 203-713-8600
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Fax | 203-713-8601
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | DR. ELIZABETH ANN RUMLEY
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Credential | D.C.
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Telephone | 203-713-8600
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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 | 001885
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License Number State | CT
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