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General NPI Number Information
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NPI Number | 1164521225
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Entity Type | Organization
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Legal Business Name | KANTOROSINSKI CHIROPRACTIC INC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 01/04/2008
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Provider Practice Location Address
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Address Line | 407 ESSEX ST
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City | SALEM
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State | MA
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Zip | 01970-3155
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Country | US
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Telephone | 978-741-3477
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Fax | 978-744-7757
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Provider Business Mailing Address
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Address Line | 407 ESSEX ST
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City | SALEM
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State | MA
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Zip | 01970-3155
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Country | US
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Telephone | 978-741-3477
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Fax | 978-744-7757
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MIROSLAW KANTOROSINSKI
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Credential | D.C.
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Telephone | 978-741-3477
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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 | 186
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License Number State | MA
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