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General NPI Number Information
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NPI Number | 1851673784
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Entity Type | Organization
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Legal Business Name | CITY OF BRIDGES CHIROPRACTIC
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 09/16/2011
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Provider Practice Location Address
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Address Line | 119 TOWNE SQUARE WAY
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City | BRENTWOOD
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State | PA
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Zip | 15227-3254
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Country | US
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Telephone | 724-448-5710
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Fax |
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Provider Business Mailing Address
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Address Line | 119 TOWNE SQUARE WAY
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City | BRENTWOOD
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State | PA
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Zip | 15227-3254
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Country | US
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Telephone | 724-448-5710
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | MORGAN ALEXANDER PATTISON
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Credential | D.C.
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Telephone | 724-448-5710
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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 | DC010416
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License Number State | PA
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