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General NPI Number Information
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NPI Number | 1881868156
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Entity Type | Organization
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Legal Business Name | LUSCOMB CHIROPRACTIC HEALTH CENTER
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 5 MAIN STREET
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City | PLAISTOW
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State | NH
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Zip | 03865-3002
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Country | US
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Telephone | 603-382-5008
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Fax | 603-382-5038
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Provider Business Mailing Address
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Address Line | PO BOX 156
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City | PLAISTOW
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State | NH
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Zip | 03865-0156
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Country | US
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Telephone | 603-382-5008
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Fax | 603-382-5038
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DR. JONATHAN LUSCOMB
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Credential | D.C.
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Telephone | 603-382-5008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 270-0687B
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License Number State | NH
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