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General NPI Number Information
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NPI Number | 1033854963
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Entity Type | Organization
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Legal Business Name | ROCHESTER FAMILY CHIROPRACTIC PC
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Dates
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Enumeration Date | 05/04/2022
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 1882 WINTON RD S STE 8
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City | ROCHESTER
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State | NY
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Zip | 14618-3950
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Country | US
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Telephone | 585-236-3564
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Fax |
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Provider Business Mailing Address
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Address Line | 1882 WINTON RD S STE 8
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City | ROCHESTER
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State | NY
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Zip | 14618-3950
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Country | US
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Telephone | 585-310-8900
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Fax | 585-310-8901
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Authorized Official
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Title or Position | PARTNER
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Name | AMY E. KOCHERSBERGER
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Credential | DC
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Telephone | 585-236-3564
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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 |
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License Number State |
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