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General NPI Number Information
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NPI Number | 1992717136
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Entity Type | Organization
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Legal Business Name | BENNER PIKE CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 2820 BENNER PIKE
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City | BELLEFONTE
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State | PA
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Zip | 16823
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Country | US
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Telephone | 814-355-1119
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Fax | 814-353-9144
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Provider Business Mailing Address
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Address Line | 2820 BENNER PIKE
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City | BELLEFONTE
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State | PA
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Zip | 16823
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Country | US
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Telephone | 814-355-1119
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Fax | 814-353-9144
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. ANTHONY W MARRARA
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Credential | DO
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Telephone | 814-355-1119
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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 | DC008872
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC003514L
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License Number State | PA
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