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General NPI Number Information
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NPI Number | 1881747731
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Entity Type | Organization
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Legal Business Name | ENLOW CHIROPRACTIC ASSOCIATES
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10 CARDINAL DR
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City | BIRDSBORO
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State | PA
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Zip | 19508
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Country | US
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Telephone | 610-582-1541
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Fax | 610-582-1545
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Provider Business Mailing Address
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Address Line | 10 CARDINAL DR
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City | BIRDSBORO
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State | PA
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Zip | 19508-9125
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Country | US
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Telephone | 610-582-1541
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Fax | 610-582-1545
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. BARBARA A SHIVER
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Credential |
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Telephone | 610-582-1541
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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 | DC001331L
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License Number State | PA
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