Basic Information
Provider Information
NPI: 1336878149
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MEILUN
FirstName: RACHEL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 703 GRANITE ST STE 3
Address2:  
City: BRAINTREE
State: MA
PostalCode: 021845350
CountryCode: US
TelephoneNumber: 7819613370
FaxNumber: 7819611291
Practice Location
Address1: 63 WINTHROP ST STE C1-C2
Address2:  
City: TAUNTON
State: MA
PostalCode: 027806218
CountryCode: US
TelephoneNumber: 5083489398
FaxNumber: 5088228516
Other Information
ProviderEnumerationDate: 06/07/2022
LastUpdateDate: 06/07/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/07/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
111N00000X3790MAY Chiropractic ProvidersChiropractor 

No ID Information.


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