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General NPI Number Information
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NPI Number | 1720271737
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Entity Type | Organization
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Legal Business Name | NEWHART CHIROPRACTIC CENTER
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 08/23/2007
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Provider Practice Location Address
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Address Line | 225 S RIVER ST
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City | PLAINS
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State | PA
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Zip | 18705-1123
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Country | US
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Telephone | 570-822-4484
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Fax | 570-822-4482
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Provider Business Mailing Address
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Address Line | 225 S RIVER ST
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City | PLAINS
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State | PA
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Zip | 18705-1123
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Country | US
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Telephone | 570-822-4484
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Fax | 570-822-4482
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM F. NEWHART
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Credential | D.C.
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Telephone | 570-822-4484
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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 | DC005484L
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License Number State | PA
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