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General NPI Number Information
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NPI Number | 1215890454
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Entity Type | Organization
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Legal Business Name | SASHA MARINACCIO CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1567 MILITARY RD STE 1
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City | KENMORE
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State | NY
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Zip | 14217-1264
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Country | US
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Telephone | 718-877-0676
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Fax | 716-877-4248
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Provider Business Mailing Address
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Address Line | 200 OAKRIDGE RD
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City | GRAND ISLAND
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State | NY
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Zip | 14072-2576
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SASHA MARINACCIO
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Credential | DC
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Telephone | 716-622-4888
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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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