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General NPI Number Information
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NPI Number | 1972780245
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Entity Type | Organization
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Legal Business Name | PAGE ENTERPRISES INC
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 489 WASHINGTON ST STE 202
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City | AUBURN
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State | MA
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Zip | 01501-2739
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Country | US
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Telephone | 508-832-8001
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Fax | 508-832-8005
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Provider Business Mailing Address
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Address Line | 489 WASHINGTON ST STE 202
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City | AUBURN
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State | MA
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Zip | 01501-2739
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Country | US
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Telephone | 508-832-8001
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Fax | 508-832-8005
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT PAGE
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Credential | DC
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Telephone | 508-943-8895
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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 | 2305
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License Number State | MA
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