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General NPI Number Information
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NPI Number | 1740311166
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Entity Type | Organization
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Legal Business Name | EAGLE CHIROPRACTIC, P. C.
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 11/26/2008
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Provider Practice Location Address
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Address Line | 30 N VILLAGE AVE
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City | EXTON
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State | PA
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Zip | 19341-1211
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Country | US
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Telephone | 610-458-7777
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Fax | 610-458-7908
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Provider Business Mailing Address
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Address Line | P. O. BOX 795
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City | UWCHLAND
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State | PA
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Zip | 19480
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Country | US
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Telephone | 610-458-7777
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Fax | 610-458-7908
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Authorized Official
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Title or Position | D.C.
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Name | DR. CYNTHIA L. GLENDENING
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Credential | D.C.
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Telephone | 610-458-7777
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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 | DC004694L
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License Number State | PA
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