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General NPI Number Information
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NPI Number | 1982739330
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Entity Type | Organization
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Legal Business Name | HEALING HANDS CHIROPRACTIC ASSOCIATION
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 10/18/2011
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Provider Practice Location Address
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Address Line | 107 S OAK ST
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City | MOUNT CARMEL
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State | PA
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Zip | 17851-2145
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Country | US
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Telephone | 570-339-4599
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Fax | 866-876-8987
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Provider Business Mailing Address
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Address Line | 107 S OAK ST
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City | MOUNT CARMEL
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State | PA
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Zip | 17851-2145
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Country | US
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Telephone | 570-339-4599
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Fax | 866-876-8987
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Authorized Official
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Title or Position | DOCTOR
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Name | JASON LAWRENCE BURGESS
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Credential | DC
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Telephone | 570-339-4599
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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 | DC007321L
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License Number State | PA
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