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General NPI Number Information
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NPI Number | 1780915405
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Entity Type | Individual
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Provider Name | ANDREW CONAN MINER DC
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Gender | Male
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Dates
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Enumeration Date | 01/20/2010
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Last Update Date | 06/17/2014
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Provider Practice Location Address
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Address Line | 9 PLEASANT ST
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City | BRUNSWICK
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State | ME
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Zip | 04011-2247
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Country | US
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Telephone | 207-725-7177
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Fax | 207-725-5600
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Provider Business Mailing Address
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Address Line | 9 PLEASANT ST
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City | BRUNSWICK
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State | ME
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Zip | 04011-2247
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Country | US
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Telephone | 207-725-7177
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Fax | 207-725-5600
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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 | 70011814
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CR1990
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License Number State | ME
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