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General NPI Number Information
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NPI Number | 1679285217
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Entity Type | Organization
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Legal Business Name | LIVING WELL NEK LLC
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Dates
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Enumeration Date | 12/14/2022
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Last Update Date | 12/26/2022
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Provider Practice Location Address
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Address Line | 155 DUCHESS AVE
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City | NEWPORT
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State | VT
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Zip | 05855
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Country | US
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Telephone | 802-334-5941
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 564
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City | NEWPORT
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State | VT
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Zip | 05855-0564
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Country | US
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Telephone | 802-487-5452
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | FRANCINE L LAJOIE
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Credential | DC
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Telephone | 802-487-5452
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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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