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General NPI Number Information
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NPI Number | 1811201338
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Entity Type | Organization
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Legal Business Name | BILDER CHIROPRACTIC CENTER, P.C.
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Dates
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Enumeration Date | 07/27/2010
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Last Update Date | 07/27/2010
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Provider Practice Location Address
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Address Line | 16 LUZERNE AVE STE 160
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City | WEST PITTSTON
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State | PA
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Zip | 18643-2800
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Country | US
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Telephone | 570-655-8400
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Fax | 570-655-8420
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Provider Business Mailing Address
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Address Line | 16 LUZERNE AVE STE 160
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City | WEST PITTSTON
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State | PA
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Zip | 18643-2800
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Country | US
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Telephone | 570-655-8400
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Fax | 570-655-8420
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. HENRY WILLIAM BILDER
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Credential | D.C.
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Telephone | 570-655-8400
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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 | DC009275
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License Number State | PA
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