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General NPI Number Information
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NPI Number | 1902091804
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Entity Type | Organization
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Legal Business Name | MAKEFIELD CHIROPRACTIC CENTER P C
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 09/26/2012
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Provider Practice Location Address
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Address Line | 11 FRIENDS LN SUITE A159
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City | NEWTOWN
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State | PA
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Zip | 18940-1885
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Country | US
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Telephone | 215-860-9660
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Fax |
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Provider Business Mailing Address
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Address Line | 11 FRIENDS LN SUITE A159
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City | NEWTOWN
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State | PA
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Zip | 18940-1885
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Country | US
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Telephone | 215-860-9660
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | THOMAS M SANGIORGIO
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Credential | D.C.
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Telephone | 215-860-9660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | DC-005434-L
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License Number State | PA
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