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General NPI Number Information
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NPI Number | 1720024268
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Entity Type | Organization
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Legal Business Name | BROOKLINE NEWTON WHOLE HEALTH CENTER
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 10/25/2010
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Provider Practice Location Address
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Address Line | 960 CENTRE ST
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City | JAMAICA PLAIN
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State | MA
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Zip | 02130-3045
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Country | US
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Telephone | 617-413-8362
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 320258
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City | WEST ROXBURY
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State | MA
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Zip | 02132-0003
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Country | US
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Telephone | 617-413-8362
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEBORAH WU
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Credential | D.C.
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Telephone | 617-413-8362
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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 | 2710
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3064
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1405
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License Number State | MA
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