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General NPI Number Information
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NPI Number | 1982007241
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Entity Type | Organization
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Legal Business Name | IN-HOME CHIROPRACTIC SERVICES
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Dates
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Enumeration Date | 10/01/2014
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Last Update Date | 10/01/2014
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Provider Practice Location Address
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Address Line | 35 LINCOLN ST
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City | HAMDEN
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State | CT
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Zip | 06518-3005
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Country | US
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Telephone | 203-589-2796
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6774
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City | HAMDEN
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State | CT
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Zip | 06517-0774
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Country | US
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Telephone | 203-589-2796
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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. LOYDON HENRY-PHILLIP
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Credential | DC
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Telephone | 203-589-2796
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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 | 1980
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License Number State | CT
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