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General NPI Number Information
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NPI Number | 1841350253
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Entity Type | Organization
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Legal Business Name | RAY OF LIGHT CHIROPRACTIC, PC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 09/14/2015
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Provider Practice Location Address
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Address Line | 239 BOSTON ST SUITE 212/214
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City | TOPSFIELD
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State | MA
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Zip | 01983-2215
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Country | US
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Telephone | 978-887-9889
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Fax | 978-359-6023
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Provider Business Mailing Address
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Address Line | 239 BOSTON ST SUITE 212/214
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City | TOPSFIELD
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State | MA
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Zip | 01983-2215
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Country | US
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Telephone | 978-887-9889
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Fax | 978-359-6023
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Authorized Official
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Title or Position | OWNER
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Name | MS. LAURA VIRGINIA GODFREY
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Credential | DC
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Telephone | 978-887-9889
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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 | CH2330
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License Number State | MA
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