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General NPI Number Information
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NPI Number | 1871172999
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Entity Type | Organization
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Legal Business Name | ELITE CHIROPRACTIC & REHABILITATION, PLLC
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 06/10/2021
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Provider Practice Location Address
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Address Line | 3310 S 20TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19145-5764
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Country | US
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Telephone | 267-846-2600
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Fax | 267-846-2600
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Provider Business Mailing Address
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Address Line | PO BOX 20007
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City | PHILADELPHIA
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State | PA
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Zip | 19145-0307
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Country | US
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Telephone | 267-846-2600
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Fax | 267-846-2600
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Authorized Official
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Title or Position | OWNER
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Name | BRITTANY V TOOLE
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Credential |
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Telephone | 267-846-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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