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General NPI Number Information
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NPI Number | 1669418976
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Entity Type | Organization
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Legal Business Name | CORDIE CHIROPRACTIC
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 07/31/2007
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Provider Practice Location Address
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Address Line | 919 WEST 38TH ST CORDIE CHIROPRACTIC
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City | ERIE
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State | PA
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Zip | 16506
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Country | US
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Telephone | 814-866-3366
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Fax | 814-866-8877
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Provider Business Mailing Address
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Address Line | 919 WEST 38TH ST CORDIE CHIROPRACTIC
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City | ERIE
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State | PA
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Zip | 16508
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Country | US
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Telephone | 814-866-3366
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Fax | 814-866-8877
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Authorized Official
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Title or Position | OWNER
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Name | DR. TASMIN L CORDIE
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Credential | D.C.
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Telephone | 819-866-3366
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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 |
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License Number State |
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