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General NPI Number Information
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NPI Number | 1215843727
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Entity Type | Organization
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Legal Business Name | CASSITTY ROSE DC PLLC
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 30 BLOOMINGDALE AVE
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City | SARANAC LAKE
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State | NY
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Zip | 12983-1219
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Country | US
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Telephone | 518-410-2469
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 989
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City | SARANAC LAKE
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State | NY
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Zip | 12983-0989
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Country | US
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Telephone | 518-410-2469
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. CASSITTY TYTANNYA ROSE
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Credential | DC
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Telephone | 518-637-4124
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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 |
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License Number State |
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