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General NPI Number Information
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NPI Number | 1912295692
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Entity Type | Organization
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Legal Business Name | HANDS IN HEALTH, PC
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Dates
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Enumeration Date | 07/15/2011
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Last Update Date | 07/15/2011
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Provider Practice Location Address
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Address Line | 1017 WASHINGTON BLVD SUITE A
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-3633
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Country | US
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Telephone | 570-916-5554
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Fax | 570-329-2283
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Provider Business Mailing Address
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Address Line | 1730 BRISTOL AVE
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City | STATE COLLEGE
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State | PA
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Zip | 16801-3071
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Country | US
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Telephone | 570-916-5554
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Fax | 570-329-2283
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Authorized Official
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Title or Position | CHAIRMAN
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Name | DR. KELLI L DATRES
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Credential | DC
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Telephone | 570-916-5554
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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 | DC010095
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC010094
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License Number State | PA
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