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General NPI Number Information
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NPI Number | 1861402349
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Entity Type | Individual
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Provider Name | KERI LYNNE FRESHOUR D.C.
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 04/30/2009
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Provider Practice Location Address
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Address Line | 379 W UWCHLAN AVE STE 100
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-3168
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Country | US
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Telephone | 610-873-9610
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Fax | 610-873-9670
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Provider Business Mailing Address
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Address Line | 100 SHADESTONE DR
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City | POTTSTOWN
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State | PA
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Zip | 19465-8572
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Country | US
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Telephone | 610-469-1834
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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-005872-L
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License Number State | SD
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