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General NPI Number Information
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NPI Number | 1942684261
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Entity Type | Organization
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Legal Business Name | JOHNS CHIROPRACTIC AND REHABILITATION
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Dates
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Enumeration Date | 07/16/2015
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Last Update Date | 07/16/2015
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Provider Practice Location Address
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Address Line | 499 S HENDERSON RD
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-3512
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Country | US
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Telephone | 610-265-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 499 S HENDERSON RD
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-3512
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Country | US
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Telephone | 610-265-0220
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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. THERESA JOHNS
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Credential | D.C.
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Telephone | 610-265-0220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | DC008701
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License Number State | PA
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