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General NPI Number Information
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NPI Number | 1215154802
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Entity Type | Organization
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Legal Business Name | SCHIMIZZI FAMILY CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 10/30/2012
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Provider Practice Location Address
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Address Line | 99 W. EISENHOWER DRIVE SUITE B
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City | HANOVER
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State | PA
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Zip | 17331-1152
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Country | US
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Telephone | 717-646-9922
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Fax | 717-646-9666
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Provider Business Mailing Address
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Address Line | 99 W EISENHOWER DR SUITE B
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City | HANOVER
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State | PA
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Zip | 17331-1152
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Country | US
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Telephone | 717-646-9922
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Fax | 717-646-9666
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Authorized Official
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Title or Position | OWNER
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Name | DR. JASON MICHAEL SCHIMIZZI
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Credential | D.C.
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Telephone | 717-646-9922
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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 | DC-007779-L
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License Number State | PA
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