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General NPI Number Information
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NPI Number | 1699297911
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Entity Type | Organization
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Legal Business Name | RESTORATIVE HEALTH CENTER
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Dates
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Enumeration Date | 07/07/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 201 EXTON CMNS
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City | EXTON
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State | PA
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Zip | 19341-2449
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Country | US
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Telephone | 610-363-2897
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Fax | 610-363-5782
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Provider Business Mailing Address
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Address Line | 201 EXTON CMNS
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City | EXTON
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State | PA
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Zip | 19341-2449
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Country | US
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Telephone | 610-363-2897
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Fax | 610-363-5782
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELIZABETH KROCULICK CARTER
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Credential | DC
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Telephone | 610-363-2897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | DC005850L
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License Number State | PA
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