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General NPI Number Information
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NPI Number | 1073788097
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Entity Type | Organization
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Legal Business Name | MANUCCI CHIROPRACTIC CENTER
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 2028 W 38TH ST
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City | ERIE
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State | PA
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Zip | 16508-2020
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Country | US
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Telephone | 814-868-2663
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Fax | 814-868-0044
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Provider Business Mailing Address
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Address Line | 2028 W 38TH ST
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City | ERIE
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State | PA
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Zip | 16508-2020
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Country | US
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Telephone | 814-868-2663
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Fax | 814-868-0044
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY J MANUCCI
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Credential | D.C.
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Telephone | 814-868-2663
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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 | DC005117L
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License Number State | PA
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