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General NPI Number Information
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NPI Number | 1205804044
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Entity Type | Individual
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Provider Name | MICHAEL C. GUERNSEY D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 02/18/2010
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Provider Practice Location Address
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Address Line | 675 PANORAMA TRL SUITE #5
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City | ROCHESTER
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State | NY
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Zip | 14625-2406
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Country | US
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Telephone | 585-383-0420
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Fax | 800-581-7735
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Provider Business Mailing Address
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Address Line | 675 PANORAMA TRL STE 5
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City | ROCHESTER
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State | NY
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Zip | 14625-2406
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Country | US
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Telephone | 585-383-0420
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Fax | 800-581-7735
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | X007163-1
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License Number State | NY
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