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General NPI Number Information
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NPI Number | 1770149452
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Entity Type | Organization
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Legal Business Name | MAYFAIR FAMILY CHIROPRACTIC CENTER INC.
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Dates
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Enumeration Date | 05/17/2019
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 3301 RYAN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19136-4301
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Country | US
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Telephone | 856-904-3061
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Fax |
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Provider Business Mailing Address
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Address Line | 1136 S 26TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19146-3849
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Country | US
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Telephone | 856-904-3061
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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. TARAK NAVIN PATEL
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Credential | DC
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Telephone | 856-904-3061
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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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