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General NPI Number Information
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NPI Number | 1881082931
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Entity Type | Organization
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Legal Business Name | DESIRED CARE CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 12/23/2014
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 292 ROUTE 101 UNIT 13B
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City | BEDFORD
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State | NH
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Zip | 03110-5159
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Country | US
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Telephone | 603-315-5122
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Fax |
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Provider Business Mailing Address
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Address Line | 360 ROUTE 101 UNIT 13B
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City | BEDFORD
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State | NH
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Zip | 03110-5030
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Country | US
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Telephone | 603-488-5596
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DESIREE SHELBY VANASSELBERG
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Credential | DC
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Telephone | 603-315-5122
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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 | 959
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License Number State | NH
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