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General NPI Number Information
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NPI Number | 1821177999
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Entity Type | Individual
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Provider Name | EDWARD JOHN RUSHER DC
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Gender | Male
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 03/26/2012
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Provider Practice Location Address
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Address Line | 55 AMOSKEAG ST
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City | MANCHESTER
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State | NH
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Zip | 03102-3224
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Country | US
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Telephone | 603-624-8000
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Fax | 603-629-9166
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Provider Business Mailing Address
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Address Line | 55 AMOSKEAG ST
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City | MANCHESTER
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State | NH
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Zip | 03102-3224
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Country | US
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Telephone | 603-624-8000
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Fax | 603-629-9166
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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 | 111-1092
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License Number State | NH
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