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General NPI Number Information
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NPI Number | 1780334839
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Entity Type | Organization
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Legal Business Name | FAMILY FIRST CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 03/23/2022
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 660 MAST RD
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City | MANCHESTER
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State | NH
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Zip | 03102-1218
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Country | US
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Telephone | 603-809-8243
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Fax |
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Provider Business Mailing Address
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Address Line | 51 CONGRESS ST APT 2
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City | NASHUA
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State | NH
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Zip | 03062-3334
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Country | US
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Telephone | 603-809-8243
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. VICTORIA LYNN GONSALVES
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Credential | D.C.
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Telephone | 603-809-8243
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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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