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General NPI Number Information
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NPI Number | 1730753682
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Entity Type | Organization
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Legal Business Name | LEDERACH CHIROPRACTIC LLC
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Dates
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Enumeration Date | 05/16/2021
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Last Update Date | 05/16/2021
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Provider Practice Location Address
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Address Line | 658 HARLEYSVILLE PIKE STE 110
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City | HARLEYSVILLE
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State | PA
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Zip | 19438-2886
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Country | US
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Telephone | 215-256-8006
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Fax | 215-256-8111
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Provider Business Mailing Address
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Address Line | 327 MIFFLIN ST
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City | SOUDERTON
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State | PA
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Zip | 18964-1860
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Country | US
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Telephone | 215-579-1369
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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. ERIC M PIRRONE
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Credential | DC
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Telephone | 215-579-1369
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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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