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General NPI Number Information
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NPI Number | 1851675243
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Entity Type | Organization
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Legal Business Name | NUTRITION AND HEALING CENTER, INC.
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Dates
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Enumeration Date | 10/04/2011
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Last Update Date | 10/04/2011
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Provider Practice Location Address
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Address Line | 1455 WEST 38TH STREET SUITE 2
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City | ERIE
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State | PA
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Zip | 16508
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Country | US
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Telephone | 814-866-3366
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Fax | 814-866-8877
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Provider Business Mailing Address
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Address Line | 1455 WEST 38TH STREET SUITE 2
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City | ERIE
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State | PA
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Zip | 16508
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Country | US
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Telephone | 814-866-3366
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Fax | 814-866-8877
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Authorized Official
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Title or Position | OWNER
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Name | DR. TASMIN LEE CORDIE
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Credential | DC
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Telephone | 814-866-3366
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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 | 9093
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License Number State | PA
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