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General NPI Number Information
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NPI Number | 1699834077
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Entity Type | Organization
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Legal Business Name | FAMILY CHIORPRACTIC CENTER, INC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3825 OLD WILLIAM PENN HWY
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City | MURRYSVILLE
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State | PA
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Zip | 15668-1842
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Country | US
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Telephone | 724-327-0922
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Fax | 724-327-9655
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Provider Business Mailing Address
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Address Line | 3825 OLD WILLIAM PENN HWY
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City | MURRYSVILLE
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State | PA
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Zip | 15668-1842
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Country | US
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Telephone | 724-327-0922
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Fax | 724-327-9655
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | CONRAD FRANCIS MATZ III
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Credential | D.C.
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Telephone | 724-327-0922
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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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