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General NPI Number Information
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NPI Number | 1770567224
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Entity Type | Individual
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Provider Name | JOSEPH M BIRDWELL DC
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Gender | Male
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 12/13/2010
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Provider Practice Location Address
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Address Line | 3 NASHUA CT SUITE H
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City | BALTIMORE
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State | MD
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Zip | 21221-3133
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Country | US
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Telephone | 410-933-5678
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Fax | 410-933-4835
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Provider Business Mailing Address
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Address Line | 1800 N CHARLES ST
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City | BALTIMORE
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State | MD
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Zip | 21201-5920
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Country | US
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Telephone | 410-234-1600
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Fax | 410-727-4148
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | S01607
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License Number State | MD
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