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General NPI Number Information
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NPI Number | 1912352279
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Entity Type | Organization
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Legal Business Name | THRIVE CHIROPRACTIC HEALING AND REHABILITATION CENTER, P.C.
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Dates
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Enumeration Date | 04/24/2016
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 100 EMLEN WAY
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City | TELFORD
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State | PA
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Zip | 18969-1782
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Country | US
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Telephone | 215-570-2352
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Fax |
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Provider Business Mailing Address
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Address Line | 451 SILVER LEAF CIR
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City | TRAPPE
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State | PA
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Zip | 19426-1972
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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 | DR. DAVID NEWMAN
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Credential | D.C.
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Telephone | 215-570-2352
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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 | DC011083
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License Number State | PA
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