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General NPI Number Information
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NPI Number | 1194997577
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Entity Type | Organization
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Legal Business Name | MAROTTA CHIROPRACTIC & MASSAGE CLINIC
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 03/26/2008
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Provider Practice Location Address
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Address Line | 400 RODI RD
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City | PITTSBURGH
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State | PA
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Zip | 15235-4519
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Country | US
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Telephone | 412-241-4530
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Fax | 412-241-4535
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Provider Business Mailing Address
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Address Line | 400 RODI RD
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City | PITTSBURGH
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State | PA
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Zip | 15235-4519
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Country | US
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Telephone | 412-241-4530
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Fax | 412-241-4535
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Authorized Official
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Title or Position | OWNER
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Name | ERIC MAROTTA
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Credential | D.C.
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Telephone | 412-241-4530
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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 | DC005991L
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License Number State | PA
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