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General NPI Number Information
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NPI Number | 1023237211
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Entity Type | Organization
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Legal Business Name | AMERICAN FAMILY CHIROPRACTIC, PC
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 10/12/2020
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Provider Practice Location Address
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Address Line | 310 PENN ST
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-2044
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Country | US
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Telephone | 814-695-5699
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Fax | 814-695-5618
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Provider Business Mailing Address
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Address Line | 1705 N JUNIATA ST
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-1919
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Country | US
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Telephone | 814-695-5699
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Fax | 814-695-5618
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Authorized Official
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Title or Position | OWNER
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Name | DR. WENDY R PEHONSKY
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Credential | DC
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Telephone | 814-695-5699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC8661
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License Number State | PA
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