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General NPI Number Information
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NPI Number | 1912118977
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Entity Type | Organization
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Legal Business Name | BIGELOW CHIROPRACTIC CENTER, PLLC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 155 MAIN DUNSTABLE RD SUITE 135
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City | NASHUA
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State | NH
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Zip | 03060-3640
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Country | US
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Telephone | 603-883-8971
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Fax | 603-883-0157
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Provider Business Mailing Address
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Address Line | 155 MAIN DUNSTABLE RD SUITE 135
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City | NASHUA
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State | NH
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Zip | 03060-3640
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN T BIGELOW
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Credential |
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Telephone | 603-883-8971
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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 | 285-1087A
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License Number State | NH
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