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General NPI Number Information
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NPI Number | 1245693019
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Entity Type | Organization
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Legal Business Name | PITTSBURGH CHIROPRACTIC AND MASSAGE THERAPY CENTER
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Dates
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Enumeration Date | 03/30/2016
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Last Update Date | 03/30/2016
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Provider Practice Location Address
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Address Line | 436 7TH AVE SUITE 180
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City | PITTSBURGH
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State | PA
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Zip | 15219-1826
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Country | US
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Telephone | 412-434-0790
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Fax | 412-434-0791
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Provider Business Mailing Address
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Address Line | 436 7TH AVE SUITE 180
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City | PITTSBURGH
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State | PA
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Zip | 15219-1826
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Country | US
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Telephone | 412-434-0790
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Fax | 412-434-0791
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATRICK G JONES
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Credential | D.C.
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Telephone | 412-983-1445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | DC008984
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License Number State | PA
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