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General NPI Number Information
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NPI Number | 1174715270
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Entity Type | Organization
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Legal Business Name | FOCUSED HEALTH CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 06/18/2018
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Provider Practice Location Address
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Address Line | 2349 MONROE AVE
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City | ROCHESTER
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State | NY
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Zip | 14618
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Country | US
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Telephone | 585-442-6030
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Fax | 585-442-2977
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Provider Business Mailing Address
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Address Line | 2349 MONROE AVE
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City | ROCHESTER
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State | NY
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Zip | 14618-3025
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Country | US
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Telephone | 585-442-6030
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Fax | 585-442-2977
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUSAN SIRIANNI GRIMM
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Credential | DC
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Telephone | 585-442-6030
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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 | X0085621
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License Number State | NY
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