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General NPI Number Information
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NPI Number | 1922239771
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Entity Type | Organization
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Legal Business Name | JORDAN FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | 9125 MARSHALL RD STE 101
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-3603
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Country | US
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Telephone | 724-741-6080
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Fax | 724-741-6084
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Provider Business Mailing Address
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Address Line | 9125 MARSHALL RD STE 101
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-3603
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Country | US
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Telephone | 724-741-6080
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Fax | 724-741-6084
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Authorized Official
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Title or Position | OWNER AND DOCTOR
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Name | DR. AMANDA CAROL ALBAUGH
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Credential | D.C.
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Telephone | 724-741-6080
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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 |
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License Number State |
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