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General NPI Number Information
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NPI Number | 1114978970
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Entity Type | Organization
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Legal Business Name | DAVE PACANA CHIROPRACTIC PC
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 424 ROBINSON ST
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-7021
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Country | US
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Telephone | 716-692-0021
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Fax | 716-692-2321
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Provider Business Mailing Address
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Address Line | 424 ROBINSON ST
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-7021
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Country | US
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Telephone | 716-692-0021
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Fax | 716-692-2321
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. DAVID JAMES PACANA
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Credential |
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Telephone | 716-692-0021
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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 | X009343
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License Number State | NY
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