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General NPI Number Information
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NPI Number | 1184138133
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Entity Type | Organization
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Legal Business Name | CLIMB CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 11/29/2017
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 421 BROAD ST STE 4
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City | UTICA
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State | NY
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Zip | 13501-1210
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Country | US
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Telephone | 315-733-0590
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Fax | 315-693-1141
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Provider Business Mailing Address
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Address Line | 421 BROAD ST STE 4
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City | UTICA
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State | NY
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Zip | 13501-1210
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Country | US
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Telephone | 315-733-0590
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Fax | 315-693-1141
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Authorized Official
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Title or Position | OWNER, DC
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Name | ASHLEY MOODY
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Credential | DC
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Telephone | 315-733-0590
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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 | 013028
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License Number State | NY
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Taxonomy #2
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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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