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General NPI Number Information
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NPI Number | 1871778746
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Entity Type | Organization
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Legal Business Name | JOHN A JOSEPH DC PC
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 411 S LOGAN BLVD STE 3
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City | ALTOONA
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State | PA
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Zip | 16602-4101
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Country | US
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Telephone | 814-943-3033
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Fax | 814-943-1210
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Provider Business Mailing Address
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Address Line | 411 S LOGAN BLVD STE 3
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City | ALTOONA
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State | PA
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Zip | 16602-4101
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Country | US
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Telephone | 814-943-3033
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Fax | 814-943-1210
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | JOHN ARTHUR JOSEPH
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Credential | DC PC
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Telephone | 814-943-3033
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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-0002521-L
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License Number State | PA
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