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General NPI Number Information
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NPI Number | 1891097929
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Entity Type | Organization
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Legal Business Name | MCCARRIN CHIROPRACTIC AND PHYSICAL THERAPY
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Dates
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Enumeration Date | 11/22/2010
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Last Update Date | 03/03/2016
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Provider Practice Location Address
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Address Line | 721 HAYES ST
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City | CHESTER
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State | PA
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Zip | 19013-2137
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Country | US
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Telephone | 610-308-1454
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Fax | 610-892-0489
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Provider Business Mailing Address
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Address Line | 436 E BALTIMORE AVE
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City | MEDIA
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State | PA
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Zip | 19063-3840
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Country | US
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Telephone | 610-566-7424
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Fax | 610-892-0489
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | STACEY DEFRANK
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Credential |
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Telephone | 610-566-7424
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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 |
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License Number State | PA
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