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General NPI Number Information
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NPI Number | 1851438097
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Entity Type | Organization
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Legal Business Name | BREWERTON CHIROPRACTIC OFFICES
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 6 N MAIN ST
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City | LEOMINSTER
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State | MA
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Zip | 01453-3785
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Country | US
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Telephone | 978-534-6246
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Fax | 978-534-6268
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Provider Business Mailing Address
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Address Line | 6 N MAIN ST
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City | LEOMINSTER
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State | MA
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Zip | 01453-3785
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Country | US
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Telephone | 978-534-6246
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Fax | 978-534-6268
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Authorized Official
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Title or Position | CHIROPRACTOR PARTNER
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Name | DR. LAWRENCE O. BREWERTON
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Credential | D.C.
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Telephone | 978-534-6246
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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 | 212
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License Number State | MA
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