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General NPI Number Information
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NPI Number | 1790793172
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Entity Type | Organization
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Legal Business Name | PAMMER CHIROPRACTIC PC
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 01/04/2008
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Provider Practice Location Address
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Address Line | 1104 6TH ST
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City | CATASAUQUA
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State | PA
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Zip | 18032-2210
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Country | US
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Telephone | 610-264-3344
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Fax | 610-264-2081
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Provider Business Mailing Address
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Address Line | 1104 6TH ST
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City | CATASAUQUA
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State | PA
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Zip | 18032-2210
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Country | US
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Telephone | 610-264-3344
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Fax | 610-264-2081
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. JOHN C PAMMER III
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Credential | D.C,
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Telephone | 610-264-3344
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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 | 004888L
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License Number State | PA
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