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General NPI Number Information
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NPI Number | 1144889254
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Entity Type | Organization
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Legal Business Name | KI CHIROPRACTIC LLC
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Dates
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Enumeration Date | 06/12/2019
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Last Update Date | 06/12/2019
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Provider Practice Location Address
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Address Line | 2212 NOBLESTOWN RD STE 105
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City | PITTSBURGH
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State | PA
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Zip | 15205-4126
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Country | US
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Telephone | 412-920-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 2212 NOBLESTOWN RD STE 105
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City | PITTSBURGH
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State | PA
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Zip | 15205-4126
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Country | US
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Telephone | 412-920-1600
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JIOVANNI PABILONIA
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Credential | DC
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Telephone | 412-920-1600
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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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