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General NPI Number Information
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NPI Number | 1750254132
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Entity Type | Organization
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Legal Business Name | HARBOR SPINE & SPORTS INC
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 49 STATE RD WATUPPA BUILDING 101
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City | DARTMOUTH
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State | MA
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Zip | 02747-3322
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Country | US
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Telephone | 508-999-4040
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Fax | 508-993-9387
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Provider Business Mailing Address
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Address Line | 49 STATE RD WATUPPA BUILDING 101
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City | DARTMOUTH
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State | MA
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Zip | 02747-3322
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Country | US
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Telephone | 508-999-4040
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Fax | 508-993-9387
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Authorized Official
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Title or Position | PRESIDENT / CLINIC DIRECTOR
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Name | DR. NICHOLAS K PSICHOPAIDAS
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Credential | DC
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Telephone | 508-999-4040
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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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