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General NPI Number Information
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NPI Number | 1154576528
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Entity Type | Organization
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Legal Business Name | KALKSTEIN FAMILY CHIROPRACTIC PC
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Dates
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Enumeration Date | 11/26/2008
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Last Update Date | 12/26/2013
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Provider Practice Location Address
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Address Line | 1000 JACKS RUN RD
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City | NORTH VERSAILLES
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State | PA
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Zip | 15137-2744
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Country | US
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Telephone | 412-816-0100
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Fax | 412-816-0103
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Provider Business Mailing Address
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Address Line | 1000 JACKS RUN ROAD
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City | NORTH VERSAILLES
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State | PA
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Zip | 15239
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Country | US
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Telephone | 412-816-0100
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Fax | 412-816-0103
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TERRI DIGUILIO
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Credential |
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Telephone | 412-372-4343
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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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