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General NPI Number Information
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NPI Number | 1053557553
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Entity Type | Organization
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Legal Business Name | .GREGORY W. PASTRICK, D.C. LLC
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Dates
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Enumeration Date | 01/05/2009
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Last Update Date | 01/05/2009
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Provider Practice Location Address
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Address Line | 727 E WESTERN RESERVE RD SUITE B
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City | POLAND
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State | OH
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Zip | 44514-4359
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Country | US
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Telephone | 330-519-7795
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Fax | 330-729-1101
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Provider Business Mailing Address
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Address Line | 184 OVERLOOK BLVD
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City | STRUTHERS
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State | OH
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Zip | 44471-1615
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Country | US
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Telephone | 330-518-7795
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Fax | 330-729-1101
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | GREGORY W PASTRICK
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Credential | D.C.
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Telephone | 330-518-7795
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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 | 1371
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License Number State | OH
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