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General NPI Number Information
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NPI Number | 1265010334
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Entity Type | Organization
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Legal Business Name | BULLDOG CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 03/31/2021
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 2 COMMERCIAL ST
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City | LIVONIA
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State | NY
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Zip | 14487-9103
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Country | US
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Telephone | 724-816-3238
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Fax |
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Provider Business Mailing Address
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Address Line | 4330 SHELLY RD
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City | LIVONIA
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State | NY
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Zip | 14487-9303
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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. ADAM CASSEL
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Credential |
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Telephone | 724-816-3238
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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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