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General NPI Number Information
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NPI Number | 1912165754
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Entity Type | Individual
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Provider Name | NATHAN PETER SLAWSKY D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 07/17/2013
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Provider Practice Location Address
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Address Line | 651 ORCHARD ST STE 202A
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City | NEW BEDFORD
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State | MA
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Zip | 02744-1008
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Country | US
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Telephone | 508-717-0222
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Fax | 508-714-0299
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Provider Business Mailing Address
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Address Line | 651 ORCHARD ST STE 202A
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City | NEW BEDFORD
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State | MA
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Zip | 02744-1008
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Country | US
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Telephone | 508-717-0222
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Fax | 508-714-0299
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2779
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License Number State | MA
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