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General NPI Number Information
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NPI Number | 1770740599
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Entity Type | Organization
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Legal Business Name | PARKWOOD FAMILY CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 02/29/2012
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Provider Practice Location Address
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Address Line | 9331 OLD BUSTLETON AVE SUITE 101
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City | PHILADELPHIA
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State | PA
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Zip | 19115-4204
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Country | US
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Telephone | 215-338-5010
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Fax | 215-673-1980
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Provider Business Mailing Address
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Address Line | 225 SAXONY DR
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City | NEWTOWN
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State | PA
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Zip | 18940-1685
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Country | US
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Telephone | 215-338-5010
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Fax | 215-673-1980
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN S. FREEMAN
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Credential | DC
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Telephone | 215-338-5010
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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 | DC5069L
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License Number State | PA
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