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NPI Code Detail

MEDICARE: DR. MITCHELL C HARDING D.C.

MEDICARE:  DR. MITCHELL C HARDING  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC008941PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11476648OTHERPAPA BLUE SHIELD
22157340000OTHERPAINDEPENDENCE BLUE CROSS

General Provider Information

NPI Number : 1629098371
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MITCHELL C HARDING D.C.
Provider Business Mailing Address
First Line : 1600 ARCH ST
Second Line : UNIT 502
City : PHILADELPHIA
State : PA
Zip : 19103-2028
Country : US
Telephone Number : 570-764-0528
Fax Number :
Provider Business Practice Location Address
First Line : 1425 ARCH ST
Second Line : 1ST FLOOR
City : PHILADELPHIA
State : PA
Zip : 19102-1507
Country : US
Telephone Number : 215-557-9090
Fax Number : 215-557-9089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MITCHELL C HARDING D.C.” Practice Location

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