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General NPI Number Information
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NPI Number | 1720269095
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Entity Type | Organization
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Legal Business Name | CASTEEL CHIROPRACTIC OF STATE COLLEGE, P.C.
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 11/15/2007
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Provider Practice Location Address
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Address Line | 129 MOSES THOMPSON LN
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City | STATE COLLEGE
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State | PA
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Zip | 16801-6840
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Country | US
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Telephone | 814-235-9400
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Fax | 814-235-9444
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Provider Business Mailing Address
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Address Line | 129 MOSES THOMPSON LN
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City | STATE COLLEGE
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State | PA
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Zip | 16801-6840
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Country | US
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Telephone | 814-235-9400
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Fax | 814-235-9444
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. JOEL M CASTEEL
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Credential | D.C.
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Telephone | 814-235-9400
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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 | DC007932L
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License Number State | PA
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