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General NPI Number Information
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NPI Number | 1720094485
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Entity Type | Organization
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Legal Business Name | DOKLAN CHIROPRACTIC
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1259 S CEDAR CREST BLVD SUITE 317
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City | ALLENTOWN
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State | PA
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Zip | 18103-6372
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Country | US
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Telephone | 610-774-0445
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Fax | 610-774-0448
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Provider Business Mailing Address
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Address Line | 1941 BELLEVIEW DR
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City | WHITEHALL
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State | PA
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Zip | 18052-3744
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Country | US
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Telephone | 610-799-2489
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAYMOND CLINTON DOKLAN
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Credential | D.C.
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Telephone | 610-774-0445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | DC007371L
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License Number State | PA
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