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General NPI Number Information
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NPI Number | 1750505368
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Entity Type | Organization
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Legal Business Name | WASHINGTON SQUARE CHIROPRACTIC CENTER, L.L.C.
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 604 S WASHINGTON SQ
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City | PHILADELPHIA
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State | PA
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Zip | 19106-4118
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Country | US
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Telephone | 215-925-8005
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Fax | 215-925-8005
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Provider Business Mailing Address
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Address Line | 604 S WASHINGTON SQ
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City | PHILADELPHIA
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State | PA
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Zip | 19106-4118
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Country | US
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Telephone | 215-925-8005
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Fax | 215-925-8005
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Authorized Official
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Title or Position | PARTNER
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Name | DR. ZACHARY D WEISER
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Credential | D.C.
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Telephone | 215-925-8005
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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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