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General NPI Number Information
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NPI Number | 1891119384
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Entity Type | Organization
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Legal Business Name | HANDS FOR HEALTH FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/05/2014
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Last Update Date | 02/05/2014
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Provider Practice Location Address
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Address Line | 7841 PAXTON ST
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City | HARRISBURG
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State | PA
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Zip | 17111-5426
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Country | US
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Telephone | 717-558-8110
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Fax | 717-558-8115
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Provider Business Mailing Address
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Address Line | 7841 PAXTON ST
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City | HARRISBURG
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State | PA
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Zip | 17111-5426
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Country | US
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Telephone | 717-558-8110
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Fax | 717-558-8115
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Authorized Official
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Title or Position | PRESIDENT/ SOLE MEMBER
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Name | DR. ROBERT LOUIS JACKSON JR.
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Credential | D.C.
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Telephone | 717-558-8110
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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 | DC009870
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License Number State | PA
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