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General NPI Number Information
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NPI Number | 1972780153
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Entity Type | Organization
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Legal Business Name | DR. ROBERT WRIEDEN DC PLLC
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 05/19/2011
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Provider Practice Location Address
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Address Line | 60 MITCHELL ST
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City | NORWICH
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State | NY
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Zip | 13815-1542
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Country | US
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Telephone | 607-336-7030
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Fax | 800-341-6751
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Provider Business Mailing Address
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Address Line | 60 MITCHELL ST
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City | NORWICH
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State | NY
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Zip | 13815-1542
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Country | US
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Telephone | 607-336-7030
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Fax | 800-341-6751
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Authorized Official
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Title or Position | MEMBER
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Name | DR. ROBERT G WRIEDEN
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Credential | DC
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Telephone | 607-336-7030
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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 | X006821
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License Number State | NY
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