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General NPI Number Information
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NPI Number | 1851413470
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Entity Type | Organization
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Legal Business Name | IRWIN FAMILY CHIROPRACTIC CLINIC INC.
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | 600 OAK ST
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City | IRWIN
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State | PA
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Zip | 15642-3528
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Country | US
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Telephone | 724-863-3226
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Fax | 724-864-9871
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Provider Business Mailing Address
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Address Line | 600 OAK ST
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City | IRWIN
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State | PA
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Zip | 15642-3528
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Country | US
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Telephone | 724-863-3226
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Fax | 724-864-9871
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Authorized Official
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Title or Position | OWNER
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Name | DR. MATTHEW JAMES IRWIN
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Credential | D.C.
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Telephone | 724-863-3226
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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 | DC 004460 L
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License Number State | PA
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