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General NPI Number Information
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NPI Number | 1932298734
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Entity Type | Organization
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Legal Business Name | NORTH MARION FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 100 E MAIN ST
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City | MANNINGTON
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State | WV
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Zip | 26582-1127
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Country | US
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Telephone | 304-986-3930
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Fax |
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Provider Business Mailing Address
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Address Line | 100 E MAIN ST
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City | MANNINGTON
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State | WV
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Zip | 26582-1127
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Country | US
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Telephone | 304-986-3930
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Fax | 304-986-3990
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. GEORGE HIGGS
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Credential | D.C.
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Telephone | 304-986-3930
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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 | 789
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License Number State | WV
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