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General NPI Number Information
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NPI Number | 1932379435
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Entity Type | Organization
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Legal Business Name | FUNCTIONAL NEUROLOGY ASSOCIATES, INC
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 11/04/2009
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Provider Practice Location Address
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Address Line | 1000 E WALNUT ST SUITE 502
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City | PERKASIE
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State | PA
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Zip | 18944-5444
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Country | US
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Telephone | 267-354-1734
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Fax | 215-257-3320
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Provider Business Mailing Address
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Address Line | 1000 E WALNUT ST SUITE 502
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City | PERKASIE
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State | PA
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Zip | 18944-5444
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Country | US
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Telephone | 267-354-1734
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Fax | 215-257-3320
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | DR. LAUREN CAFFERY
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Credential | D.C.
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Telephone | 267-354-1734
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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 | DC009807
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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 | DC009820
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License Number State | PA
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