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General NPI Number Information
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NPI Number | 1255685020
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Entity Type | Organization
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Legal Business Name | WINCH CHIROPRACTIC, PC
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Dates
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Enumeration Date | 11/01/2012
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Last Update Date | 02/10/2015
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Provider Practice Location Address
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Address Line | 242 W. MAIN ST. SUITE 101
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City | ROCHESTER
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State | NY
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Zip | 14614
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Country | US
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Telephone | 585-413-1965
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Fax |
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Provider Business Mailing Address
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Address Line | 242 W. MAIN ST. SUITE 101
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City | ROCHESTER
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State | NY
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Zip | 14614-1110
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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. RICHARD WINCH
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Credential |
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Telephone | 585-413-1965
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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 | 011009
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License Number State | NY
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