MEDICARE: DR. RICHARD ERIC DUNLAP DC

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
1	111N00000X	Chiropractor	DC-006016-L	PA

General Provider Information

NPI Number	:	1912948191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD ERIC DUNLAP DC

Provider Business Mailing Address
First Line	:	1601 WALNUT ST
Second Line	:	SUITE 514
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-2944
Country	:	US
Telephone Number	:	215-564-6680
Fax Number	:	215-940-2218

Provider Business Practice Location Address
First Line	:	1601 WALNUT ST
Second Line	:	SUITE 514
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-2944
Country	:	US
Telephone Number	:	215-564-6680
Fax Number	:	215-940-2218

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	07/08/2007

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