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General NPI Number Information
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NPI Number | 1659773026
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Entity Type | Organization
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Legal Business Name | AB CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 09/17/2014
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Last Update Date | 09/17/2014
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Provider Practice Location Address
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Address Line | 6 CENTRAL ST
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City | NEWPORT
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State | NH
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Zip | 03773-1606
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Country | US
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Telephone | 603-477-3978
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 404
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City | NEWPORT
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State | NH
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Zip | 03773-0404
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Country | US
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Telephone | 603-477-3978
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | DR. AGATHA A. BARRECA
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Credential | DC
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Telephone | 603-477-3978
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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 | 5290498
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License Number State | NH
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