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General NPI Number Information
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NPI Number | 1861775595
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Entity Type | Organization
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Legal Business Name | DR. KRISTEN M. IMAN CHIROPRACTIC LLC
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Dates
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Enumeration Date | 09/20/2011
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Last Update Date | 09/20/2011
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Provider Practice Location Address
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Address Line | 305 N DIVISION ST
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City | SALISBURY
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State | MD
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Zip | 21801-4218
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Country | US
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Telephone | 443-523-9172
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Fax | 866-610-1943
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Provider Business Mailing Address
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Address Line | 305 N DIVISION ST
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City | SALISBURY
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State | MD
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Zip | 21801-4218
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Country | US
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Telephone | 443-523-9172
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Fax | 866-610-1943
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. KRISTEN M IMAN
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Credential | DC
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Telephone | 443-523-9172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 03637
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License Number State | MD
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