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General NPI Number Information
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NPI Number | 1073708855
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Entity Type | Organization
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Legal Business Name | LIVING HEALTH CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 06/28/2011
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Provider Practice Location Address
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Address Line | 91 TROY RD
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City | EAST GREENBUSH
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State | NY
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Zip | 12061-1348
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Country | US
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Telephone | 518-477-6330
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Fax | 518-477-5085
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Provider Business Mailing Address
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Address Line | 91 TROY RD
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City | EAST GREENBUSH
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State | NY
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Zip | 12061-1348
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Country | US
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Telephone | 518-477-6330
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Fax | 518-477-5085
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Authorized Official
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Title or Position | PRESIDENT
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Name | WINTER M. GUFFEY
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Credential | D.C.
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Telephone | 518-477-6330
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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 | X011349-1
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License Number State | NY
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